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ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 K62.3

Billable / Specific

Rectal prolapse

K62
Block
1
Synonyms
87
LCDs
5
Payer Policies
1
Linked CPTs

About ICD-10-CM K62.3

ICD-10-CM code K62.3 represents Rectal prolapse. This is a billable/specific code in the Digestive System chapter (block K62). The 2026 edition of ICD-10-CM K62.3 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under K62.3. Per CMS ICD-10-CM Tabular 2026.

  • Prolapse of rectal mucosa

Medicare LCD Coverage for K62.3

Local Coverage Determinations (LCDs) from CMS MACs that list K62.3 as a covered diagnosis.

87 LCDs

Showing top 10 of 87 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Diagnostic Colonoscopy
Article ID: 55937, Effective: 2026-02-04 00:00:00, 244 covered, 1 non-covered
CPT 45398 →
CMS LCD: Billing and Coding: Diagnostic Colonoscopy
Article ID: 55937, Effective: 2026-02-04 00:00:00, 244 covered, 1 non-covered
CPT 44392 →
CMS LCD: Billing and Coding: Diagnostic Colonoscopy
Article ID: 55937, Effective: 2026-02-04 00:00:00, 244 covered, 1 non-covered
CPT 45386 →
CMS LCD: Billing and Coding: Diagnostic Colonoscopy
Article ID: 55937, Effective: 2026-02-04 00:00:00, 244 covered, 1 non-covered
CPT 45378 →
CMS LCD: Billing and Coding: Diagnostic Colonoscopy
Article ID: 55937, Effective: 2026-02-04 00:00:00, 244 covered, 1 non-covered
CPT 44390 →
CMS LCD: Billing and Coding: Diagnostic Colonoscopy
Article ID: 55937, Effective: 2026-02-04 00:00:00, 244 covered, 1 non-covered
CPT 45393 →
CMS LCD: Billing and Coding: Diagnostic Colonoscopy
Article ID: 55937, Effective: 2026-02-04 00:00:00, 244 covered, 1 non-covered
CPT 44394 →
CMS LCD: Billing and Coding: Diagnostic Colonoscopy
Article ID: 55937, Effective: 2026-02-04 00:00:00, 244 covered, 1 non-covered
CPT 44401 →
CMS LCD: Billing and Coding: Diagnostic Colonoscopy
Article ID: 55937, Effective: 2026-02-04 00:00:00, 244 covered, 1 non-covered
CPT 44407 →
CMS LCD: Billing and Coding: Diagnostic Colonoscopy
Article ID: 55937, Effective: 2026-02-04 00:00:00, 244 covered, 1 non-covered
CPT 45391 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing K62.3.

5 policies

4 Medicare

Billing and Coding: Diagnostic Colonoscopy
Policy ID: ART-55937
Billing and Coding: Diagnostic and Therapeutic Colonoscopy
Policy ID: ART-57342
Billing and Coding: Pelvic Floor Dysfunction: Anorectal Manometry and EMG
Policy ID: ART-57595
Billing and Coding: Diagnostic Colonoscopy
Policy ID: ART-58428

1 Aetna

Prolotherapy and Sclerotherapy
Policy ID: CPB-0207

CPT Codes Commonly Billed with K62.3

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

1 linkages
  • 91125 CMS LCD: Billing and Coding: Pelvic Floor Dysfunction: Anorectal Manometry and EMG CMS LCD

Convert K62.3 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
K62.3 5691 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 K62.3, Billing FAQ

Is ICD-10 code K62.3 billable? +

Yes, K62.3 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to K62.3? +

ICD-10 K62.3 includes: Prolapse of rectal mucosa.

What CPT codes are commonly billed with K62.3? +

Procedures frequently paired with K62.3 include: 91125.

What ICD-9 codes does K62.3 map to? +

Per CMS GEMs, K62.3 maps to ICD-9 codes: 5691. 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 August 31, 2026.

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