Third degree hemorrhoids
ICD-10 K64.2 is a billable code used to indicate a diagnosis of third degree hemorrhoids.
Third degree hemorrhoids, classified under K64.2 in the ICD-10 coding system, refer to hemorrhoids that protrude outside the anal canal and cannot be manually reduced. Clinically, patients may present with significant discomfort, bleeding, and itching, often exacerbated by straining during bowel movements. The anatomy involved includes the vascular structures in the anal canal, which become engorged and inflamed due to increased pressure from factors such as chronic constipation, pregnancy, or prolonged sitting. Disease progression can lead to thrombosis, severe pain, and complications such as anemia from chronic blood loss. Diagnostic considerations include a thorough history and physical examination, often supplemented by anoscopy or sigmoidoscopy to rule out other conditions. It is crucial to differentiate third degree hemorrhoids from first and second degree, which are less severe and may resolve without surgical intervention. Proper diagnosis and management are essential to prevent complications and improve patient quality of life.
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
Standard ICD-10-CM documentation requirements apply
Various clinical presentations within this specialty area
Follow specialty-specific billing guidelines
K64.2 specifically covers third degree hemorrhoids, characterized by their inability to be reduced manually and associated symptoms such as pain, bleeding, and discomfort. It is important to differentiate this from first and second degree hemorrhoids, which may not require surgical intervention.
K64.2 should be used when a patient presents with hemorrhoids that protrude outside the anal canal and cannot be reduced. This is in contrast to K64.1, which is for second degree hemorrhoids that can be reduced manually, and K64.3 for fourth degree hemorrhoids that are permanently prolapsed.
Documentation for K64.2 should include a detailed history of symptoms, physical examination findings, and any diagnostic procedures performed, such as anoscopy. It is essential to document the degree of hemorrhoids and any associated complications to support the use of this code.
