K62.81

Anal sphincter tear (healed) (nontraumatic) (old)

FY2027Chapter 11: Diseases of the digestive system/K55–K64 Other diseases of intestines

BillableComplete code, valid to report

K62.81 (also written K6281) is a billable ICD-10-CM diagnosis code for anal sphincter tear (healed) (nontraumatic) (old). It is part of the FY2027 code set, effective October 1, 2026. It is one of the 12 codes in category K62 (Other diseases of anus and rectum). The Alphabetic Index lists it under 1 entry. Its coding notes include a Use additional code instruction and 15 Excludes2 entries.

Use additional code

Add the listed code as a secondary code, if known.

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

Excludes2

Not included here. Both codes may be reported if the patient has both conditions.

This code
  • anal fissure (K60.-)
  • anal sphincter tear (healed) (old) complicating delivery (O34.7-)
  • traumatic tear of anal sphincter (S31.831)
Inherited from K62.8 Other specified diseases of anus and rectum
  • ulcerative proctitis (K51.2)
Inherited from K62 Other diseases of anus and rectum
Also from chapter/block level (8 notes)
Inherited from Chapter 11 Diseases of the digestive system
  • 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)

Care settings

How CMS programs treat this code. These are CMS claim edits and list entries, not coverage or eligibility rules.

Home Health Primary

Accepted as the primary (principal) diagnosis on a home health claim. The Home Health Grouper assigns it to the MMTA - Other clinical group.

Source: CMS Home Health Grouper Software v07.2.26, effective October 1, 2026

Includes

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

Inherited from K62 Other diseases of anus and rectum
  • anal canal

Inclusion terms

Conditions classified to this code.

This code
  • Tear of anus, nontraumatic

Alphabetic Index terms

Terms the official Alphabetic Index lists for this code. 1 entry