ICD-10 K62.4
Billable / SpecificStenosis of anus and rectum
About ICD-10-CM K62.4
ICD-10-CM code K62.4 represents Stenosis of anus and rectum. This is a billable/specific code in the Digestive System chapter (block K62). The 2026 edition of ICD-10-CM K62.4 became effective on October 1, 2025.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under K62.4. Per CMS ICD-10-CM Tabular 2026.
- Stricture of anus (sphincter)
Medicare LCD Coverage for K62.4
Local Coverage Determinations (LCDs) from CMS MACs that list K62.4 as a covered diagnosis.
Showing top 10 of 182 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing K62.4.
5 Medicare
CPT Codes Commonly Billed with K62.4
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Convert K62.4 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 |
|---|---|---|
| K62.4 | 5692 | 00000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To K62.4
Other codes in section K55-K64 (Other diseases of intestines).
ICD-10 K62.4, Billing FAQ
Is ICD-10 code K62.4 billable? +
Yes, K62.4 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 K62.4? +
ICD-10 K62.4 includes: Stricture of anus (sphincter).
What ICD-9 codes does K62.4 map to? +
Per CMS GEMs, K62.4 maps to ICD-9 codes: 5692. Useful for legacy data review and historical claim analysis.
Get the full PayerReady toolkit
Free access to CPT/ICD-10 lookup, denial appeals, fee comparator, and claim auditing with credentialing enrollment.
Start free →Run this code through our claim audit tool
Check NCCI bundling, MUE limits, and modifier logic before submission.
Try the auditor →Did this page help?
Quick signal so we know what to improve.
If you want a code reference page that doesn't exist yet, email coding@payerready.com.
Tell us what's missing or wrong: coding@payerready.com. We respond within 5 business days.
Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on July 16, 2026.
Powered by 11K CPT · 98K ICD-10 · 860K MPFS rates · 4.5M NCCI edits · 9.5M NPIs. Our data methodology · About our coding team