K62.81 vs O34.7
K62.81 (Anal sphincter tear (healed) (nontraumatic) (old)) compared with O34.7 (Maternal care for abnormality of vulva and perineum), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Can these codes be reported together?
Yes, when both are documented. K62.81 carries an Excludes2 note covering O34.7: “anal sphincter tear (healed) (old) complicating delivery (O34.7-)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| K62.81Anal sphincter tear (healed) (nontraumatic) (old) | O34.7Maternal care for abnormality of vulva and perineum | |
|---|---|---|
| Billing status | Billable | Non-billable header |
| Classification | K00-K95 — Diseases of the Digestive System (K00-K95) | O00-O9A — Pregnancy, Childbirth and the Puerperium (O00-O9A) |
| Definition | Anal sphincter tear (healed) (nontraumatic) (old) is a billable ICD-10-CM diagnosis code (K62.81). | Maternal care for abnormality of vulva and perineum is a non-billable ICD-10-CM category code (O34.7). |
| Includes | anal canal Tear of anus, nontraumatic | the listed conditions as a reason for hospitalization or other obstetric care of the mother, or for cesarean delivery before onset of labor |
| Use additional code | code for any associated fecal incontinence (R15.-) | code for specific condition |
| Code first | — | any associated obstructed labor (O65.5) |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources