ICD-10 K62.1
Billable / SpecificRectal polyp
About ICD-10-CM K62.1
ICD-10-CM code K62.1 represents Rectal polyp. This is a billable/specific code in the Digestive System chapter (block K62). The 2026 edition of ICD-10-CM K62.1 became effective on October 1, 2025.
Type 1 Excludes
Pure excludes, these codes can never be coded together with K62.1. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- adenomatous polyp (D12.8)
Medicare LCD Coverage for K62.1
Local Coverage Determinations (LCDs) from CMS MACs that list K62.1 as a covered diagnosis.
Showing top 10 of 220 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing K62.1.
5 Medicare
2 Aetna
CPT Codes Commonly Billed with K62.1
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 45385 Colonoscopy polypectomy — polyps found Gastroenterology
- 45378 Diagnostic colonoscopy — colorectal screening, family hx colon cancer, polyp, melena, iron def anemia, diverticulosis, ulcerative colitis, Crohn, occult blood, rectal polyp, weight loss, IBS Gastroenterology
- 0184T CMS LCD: Billing and Coding: Transanal Endoscopic Surgery (TES) CMS LCD
Convert K62.1 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| K62.1 | 5690 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To K62.1
Other codes in section K55-K64 (Other diseases of intestines).
ICD-10 K62.1, Billing FAQ
Is ICD-10 code K62.1 billable? +
Yes, K62.1 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What codes are Type 1 Excludes for K62.1? +
Type 1 Excludes (never code together with K62.1): adenomatous polyp (D12.8)
What CPT codes are commonly billed with K62.1? +
Procedures frequently paired with K62.1 include: 45385, 45378, 0184T.
What ICD-9 codes does K62.1 map to? +
Per CMS GEMs, K62.1 maps to ICD-9 codes: 5690. Useful for legacy data review and historical claim analysis.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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