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K62.81

Billable

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

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

A healed tear or rupture of the anal sphincter muscle that occurred without trauma, often from childbirth or chronic straining.

Coding Tips

  • This code is for old/healed tears; use different codes for acute tears
  • Document any functional impairment or incontinence separately

Excludes 2 — Not included here, may code separately

  • anal fissure (K60.-)
  • anal sphincter tear (healed) (old) complicating delivery (O34.7-)
  • traumatic tear of anal sphincter (S31.831)

Use Additional Code

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

Code Hierarchy

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