Hemorrhoids and perianal venous thrombosis
Chapter 11:Diseases of the digestive system
ICD-10 K64 is a used to indicate a diagnosis of hemorrhoids and perianal venous thrombosis.
K64 encompasses hemorrhoids and perianal venous thrombosis, which are common conditions affecting the anal region. Hemorrhoids are swollen veins in the lower rectum and anus, classified into internal and external types. Internal hemorrhoids are located inside the rectum and typically present with painless rectal bleeding, while external hemorrhoids occur under the skin around the anus and can cause pain, itching, and swelling. Perianal venous thrombosis, often associated with external hemorrhoids, occurs when a blood clot forms in the veins around the anus, leading to acute pain and swelling. The progression of these conditions can vary; while some patients may experience mild symptoms that resolve spontaneously, others may require medical intervention. Diagnostic considerations include a thorough history and physical examination, and in some cases, additional imaging or endoscopic evaluation may be warranted to rule out other gastrointestinal disorders. Treatment options range from conservative measures, such as dietary modifications and topical medications, to surgical interventions for severe cases.
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 covers various types of hemorrhoids (internal and external) and perianal venous thrombosis. It includes conditions characterized by swelling, inflammation, and thrombosis of the venous structures in the anal region.
K64 should be used when the primary diagnosis is hemorrhoids or perianal venous thrombosis. It is distinct from codes for anal fissures (K60) or other rectal disorders, which have different clinical presentations and management.
Documentation should include a detailed history of symptoms, physical examination findings, any diagnostic imaging results, and treatment plans. Specific notes on the type of hemorrhoids and associated symptoms are crucial.
