Second degree hemorrhoids
ICD-10 K64.1 is a billable code used to indicate a diagnosis of second degree hemorrhoids.
Second degree hemorrhoids, classified under ICD-10 code K64.1, are characterized by the presence of hemorrhoids that protrude from the anal canal during defecation but spontaneously reduce after the bowel movement. Clinically, patients may present with symptoms such as rectal bleeding, discomfort, itching, and a palpable mass during examination. The anatomy involved includes the vascular structures of the anal canal, specifically the superior, middle, and inferior hemorrhoidal plexuses. Disease progression can lead to increased severity, with potential complications such as thrombosis or progression to third-degree hemorrhoids, which require surgical intervention. Diagnostic considerations include a thorough history and physical examination, often supplemented by anoscopy or sigmoidoscopy to rule out other gastrointestinal conditions. It is essential to differentiate second-degree hemorrhoids from other anorectal disorders, such as fissures or fistulas, to ensure appropriate management.
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
K64.1 specifically covers second-degree hemorrhoids, which are characterized by their ability to protrude during defecation but reduce spontaneously. It does not cover first-degree (K64.0) or third-degree (K64.2) hemorrhoids.
K64.1 should be used when the patient presents with symptoms consistent with second-degree hemorrhoids, particularly when there is evidence of protrusion during bowel movements that resolves without manual reduction.
Documentation should include a detailed history of symptoms, physical examination findings, and any diagnostic procedures performed, such as anoscopy, to confirm the diagnosis of second-degree hemorrhoids.
