2027 ICD-10-CM Diagnosis Code K62.81Anal sphincter tear (healed) (nontraumatic) (old)

ICD-10-CM Codes›K00–K95›K55-K64›K62

ICD-10-CM K62.81
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

K62.81 is a billable ICD-10-CM diagnosis code for anal sphincter tear (healed) (nontraumatic) (old). It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 393 through 395. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Anal and rectal conditions.

Code Identity

ICD-10-CM Code
K62.81
Billable Status
Yes — Valid for Submission
Code Describes
Anal sphincter tear (healed) (nontraumatic) (old)
Short Description
Anal sphincter tear (healed) (nontraumatic) (old)
Same as the full description in the CMS dataset.
Parent Code
K62.8
Other specified diseases of anus and rectum

Code Classification

ChapterK00–K95Diseases of the digestive system
SectionK55-K64Other diseases of intestines
CategoryK62Other diseases of anus and rectum
This CodeK62.81Anal sphincter tear (healed) (nontraumatic) (old)

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to K62.81: its own notes plus those printed at K62.8, K62, and Chapter 11. A note printed at a category, block or chapter applies to every code under it.

Includes

Further defines, or gives examples of, the content of the category.

From K62 Other diseases of anus and rectum applies to 12 codes
  • anal canal

Applicable To

Conditions this code is used for: synonyms of the title or, for "other specified" codes, the conditions assigned to it. The list is not exhaustive.

  • Tear of anus, nontraumatic

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

On K62.81 itself
  • anal fissure (K60.-)
  • anal sphincter tear (healed) (old) complicating delivery (O34.7-)
  • traumatic tear of anal sphincter (S31.831)
From K62.8 Other specified diseases of anus and rectum applies to 3 codes
  • ulcerative proctitis (K51.2)
From K62 Other diseases of anus and rectum applies to 12 codes
From Chapter 11 (K00-K95) Diseases of the digestive system applies to 863 codes
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

Use Additional Code

Add a second code, after this one, to fully describe the condition.

  • code for any associated fecal incontinence (R15.-)

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name K62.81, its category, or a range that includes it.

Excludes2 1

These codes carry an Excludes2 note naming K62.81: its condition is not part of those codes, and both may be reported when the patient has both.

  • K60 Fissure and fistula of anal and rectal regions
    anal sphincter tear (healed) (nontraumatic) (old) (K62.81)

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR DIG015
Anal and rectal conditions
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Anal Disorders

Your anus is the opening at the end of your large intestine. It is where stool (poop) leaves your body.

The full article covers:

  • What is the anus?
  • What are anal disorders?
  • What are the symptoms of anal disorders?
  • How are anal disorders diagnosed?
  • How are anal disorders treated?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert K62.81 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
569.43 Anal sphincter tear-old
Exact Match The mapping is direct, with no qualifiers.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About K62.81Overview

What is the ICD-10 code for anal sphincter tear (healed) (nontraumatic) (old)?

The ICD-10-CM code for anal sphincter tear (healed) (nontraumatic) (old) is K62.81 (sometimes written as K6281). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is K62.81 (Other specified diseases of anus and rectum) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report anal sphincter tear (healed) (nontraumatic) (old) on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does K62.81 group to?

When anal sphincter tear (healed) (nontraumatic) (old) is the principal diagnosis on an inpatient stay, it groups to MS-DRG 394, 395, 393, with relative weights from 0.6379 to 1.5877 depending on complications. Higher weights mean higher Medicare reimbursement.

Does K62.81 need an additional code?

When the condition applies, yes. The Use Additional Code note reads: code for any associated fecal incontinence (R15.-). The additional code is reported after K62.81.

What is the ICD-9 equivalent of K62.81?

Under the General Equivalence Mappings, anal sphincter tear (healed) (nontraumatic) (old) converts to ICD-9-CM 569.43 (anal sphincter tear-old). The mapping is a direct match.