Fourth degree hemorrhoids
ICD-10 K64.3 is a billable code used to indicate a diagnosis of fourth degree hemorrhoids.
Fourth degree hemorrhoids, classified under ICD-10 code K64.3, represent the most severe form of hemorrhoidal disease. Clinically, they are characterized by the prolapse of hemorrhoidal tissue that cannot be manually reduced and may remain outside the anal canal. This condition often presents with significant pain, bleeding, and discomfort, impacting the patient's quality of life. Anatomically, fourth degree hemorrhoids involve the vascular structures of the anal canal, specifically the superior, middle, and inferior hemorrhoidal plexuses. Disease progression can lead to thrombosis, inflammation, and potential complications such as anal fissures or infections. Diagnostic considerations include a thorough history and physical examination, often supplemented by anoscopy or sigmoidoscopy to assess the extent of the disease and rule out other conditions. Patients may report symptoms such as rectal bleeding, itching, and a palpable mass, necessitating a comprehensive evaluation to guide treatment decisions.
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
K64.3 specifically covers fourth degree hemorrhoids, which are characterized by prolapsed hemorrhoids that cannot be reduced. This includes cases with significant pain, bleeding, and potential complications requiring surgical intervention.
K64.3 should be used when the hemorrhoids are irreducible and symptomatic, distinguishing it from lower degree hemorrhoids that may be managed conservatively or are reducible.
Documentation must include a detailed clinical assessment, symptom description, treatment history, and any diagnostic procedures performed, such as anoscopy, to justify the use of K64.3.
