ICD 10 Code for Hemorrhoids
Hemorrhoids are swollen veins in the lower part of the rectum or anus, which can cause pain, itching, bleeding, and discomfort. They can be internal (inside the rectum) or external (under the skin around the anus). Hemorrhoids can be caused by various factors such as straining during bowel movements, pregnancy, obesity, aging, chronic constipation or diarrhea, or anal intercourse.
Types of Hemorrhoids
There are two main types of hemorrhoids: internal hemorrhoids and external hemorrhoids.
- Internal Hemorrhoids: Internal hemorrhoids develop inside the rectum and are generally not visible or felt. They are located above the internal sphincter muscle and are covered by the lining of the rectum. Internal hemorrhoids are graded based on their severity:
- Grade 1: These are small, internal hemorrhoids that are not prolapsed or protruding from the anus.
- Grade 2: These hemorrhoids may prolapse (protrude) during a bowel movement but retract on their own afterward.
- Grade 3: Prolapsed hemorrhoids that require manual manipulation to be pushed back into the rectum.
- Grade 4: These hemorrhoids are permanently prolapsed and cannot be manually pushed back in.
- External Hemorrhoids: External hemorrhoids develop under the skin around the anus. They can be felt as lumps or swelling near the anal opening. External hemorrhoids may cause pain, itching, and discomfort. Unlike internal hemorrhoids, they are visible to the naked eye.
In some cases, a person may have both internal and external hemorrhoids simultaneously. It is also possible for internal hemorrhoids to prolapse and protrude through the anus, becoming external hemorrhoids temporarily.
What is the ICD 10 Code for Hemorrhoids?
The ICD 10 code for hemorrhoids is K64. This code belongs to the category of K64 – Hemorrhoids and perianal venous thrombosis, which includes different types and degrees of hemorrhoids as well as complications such as thrombosis or ulceration. The code K64 also applies to piles, which is another term for hemorrhoids.
The ICD 10 code for hemorrhoids is a non-billable/non-specific code that can be used to indicate a diagnosis for reimbursement purposes. However, it should be further specified by adding a fourth character to indicate the type and degree of hemorrhoids. The ICD 10 CM (Clinical Modification) system, which is used in the United States to classify diseases and health problems, provides several subcategories for hemorrhoids. The ICD 10 CM codes are updated annually and the latest version became effective on October 1, 2022.
The following table shows some of the subcategories and their descriptions for hemorrhoids:
| Code | Description |
|---|---|
| K64.0 | First-degree hemorrhoids: Internal hemorrhoids that do not prolapse outside the anus |
| K64.1 | Second-degree hemorrhoids: Internal hemorrhoids that prolapse outside the anus during bowel movements but retract spontaneously |
| K64.2 | Third-degree hemorrhoids: Internal hemorrhoids that prolapse outside the anus during bowel movements and require manual reduction |
| K64.3 | Fourth-degree hemorrhoids: Internal hemorrhoids that are permanently prolapsed outside the anus and cannot be reduced |
| K64.4 | Residual hemorrhoidal skin tags: Excess skin around the anus after healing of hemorrhoids |
| K64.5 | Perianal venous thrombosis: Blood clot in a vein near the anus, which can cause swelling and pain |
| K64.8 | Other hemorrhoids: Hemorrhoids that are not otherwise specified, such as internal hemorrhoids without mention of degree or prolapsed hemorrhoids without mention of degree |
| K64.9 | Unspecified hemorrhoids: Hemorrhoids without any further specification, such as bleeding hemorrhoids or hemorrhoids NOS (not otherwise specified) |
Causes of Hemorrhoids:
Hemorrhoids can be caused by various factors, including:
- Straining during bowel movements
- Chronic constipation or diarrhea
- Prolonged sitting or standing
- Obesity or being overweight
- Pregnancy and childbirth
- Aging
- Hereditary factors
Signs and Symptoms of Hemorrhoids:
Common signs and symptoms of hemorrhoids include:
- Rectal bleeding, typically bright red blood on the toilet paper or in the toilet bowl after a bowel movement
- Itching or irritation in the anal region
- Pain or discomfort during bowel movements
- Swelling or lumps around the anus
- Anal leakage or seepage
- A feeling of incomplete bowel movement
Diagnosis of Hemorrhoids:
To diagnose hemorrhoids, medical professionals may:
- Perform a physical examination of the rectal area
- Ask about your medical history and symptoms
- Conduct a visual inspection or use an anoscope or sigmoidoscope to examine the anal canal and rectum
- In some cases, additional diagnostic tests such as a colonoscopy or sigmoidoscopy may be recommended
Treatment
The treatment for hemorrhoids depends on the type, degree, and severity of the condition. It may include lifestyle changes such as increasing fiber intake, drinking more water, avoiding straining or sitting for long periods, using topical creams or suppositories, taking pain relievers, or applying ice packs. In some cases, medical procedures such as rubber band ligation, sclerotherapy, infrared coagulation, cryotherapy, or surgery may be required to remove or shrink the hemorrhoids.
Preventive Measures of Hemorrhoids
Here are some preventive measures to reduce the risk of hemorrhoids:
- Maintain a High-Fiber Diet: Include plenty of fiber-rich foods in your diet, such as fruits, vegetables, whole grains, and legumes. Fiber helps soften the stool and promote regular bowel movements, reducing the strain on the anal area.
- Stay Hydrated: Drink an adequate amount of water throughout the day to keep yourself well-hydrated. Sufficient hydration helps prevent constipation and promotes smooth bowel movements.
- Avoid Straining: Straining during bowel movements can contribute to the development of hemorrhoids. Take your time in the bathroom, and avoid straining or forcing the stool.
- Exercise Regularly: Engage in regular physical activity to stimulate bowel function and improve circulation. Exercises like walking, swimming, or yoga can be beneficial.
- Practice Good Bathroom Habits: Avoid prolonged sitting on the toilet, as it can increase pressure on the rectal area. Also, avoid excessive wiping after bowel movements, and opt for gentle, clean techniques.
- Maintain Proper Weight: Aim to maintain a healthy weight to reduce the risk of developing hemorrhoids. Excess weight can put additional pressure on the veins in the lower rectum.
- Take Breaks from Prolonged Sitting or Standing: If your job involves prolonged sitting or standing, take regular breaks to move around and improve blood circulation.
- Avoid Heavy Lifting: When lifting heavy objects, use proper lifting techniques to avoid excessive strain on the abdominal and rectal areas.
- Manage Chronic Diarrhea or Constipation: If you experience chronic diarrhea or constipation, seek medical advice to address the underlying causes and manage these conditions effectively.
- Practice Good Anal Hygiene: Keep the anal area clean and dry, and avoid using harsh or irritating soaps or wipes. Opt for gentle, unscented products and pat the area dry after bathing.
Living with Hemorrhoids
Hemorrhoids are a common and often embarrassing condition that can affect anyone, but they are more prevalent in people over 50 years old, pregnant women, and those with chronic constipation or diarrhea. It is important to seek medical attention if you have symptoms such as severe pain, bleeding that does not stop, infection, or signs of anemia.
If you have any questions or concerns about hemorrhoids or their ICD 10 code, please consult your doctor or health care provider.
References
(1) ICD-10-CM Coding for Hemorrhoids Simplified.
(2) 2023 ICD-10-CM Diagnosis Code K64.9: Unspecified hemorrhoids.
(3) ICD-10 Code for Unspecified hemorrhoids- K64.9- Codify by AAPC.
(4) 2023 ICD-10-CM Diagnosis Code K64.8: Other hemorrhoids.
(5) Hemorrhoids ICD 10 Code | What is Hemorrhoids Medication (2023).