ICD-10 Code K62.81 – Anal sphincter tear (healed) (nontraumatic) (old) (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code K62.81 – Anal sphincter tear (healed) (nontraumatic) (old)
What it is
K62.81 identifies a healed, old, nontraumatic tear of the anal sphincter. Use it when documentation shows a prior sphincter injury that is no longer acute but remains clinically relevant.
Clinical signs
Clinical features vary; refer to documentation. Patients may have a history of anal sphincter injury with residual weakness, scarring, or continence concerns, but the code is based on the documented healed condition.
When to use this code
Use K62.81 when the record clearly states an old or healed anal sphincter tear without an active traumatic event. It may apply during follow-up visits, problem-list review, or evaluation of persistent sequelae from a prior injury. Check documentation if the note does not specify healed, nontraumatic, or old.
Do not use for
Do not use this code for an acute anal tear, a traumatic laceration, or a rectal injury without sphincter involvement. If the documentation is unclear, check documentation.
Coding tip
Code the healed status only when the provider documents it explicitly; otherwise, verify whether a current injury or a different anorectal condition is intended.