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2025 ICD-10-CM code O87.2

Hemorrhoids occurring during the postpartum period.

Code O87.2 should only be used for maternal records and not for newborn records.Ensure that the condition is directly related to or aggravated by the pregnancy, childbirth, or the puerperium.

Not applicable to ICD-10 codes. Modifiers are used with CPT and HCPCS codes.

Medical necessity would be established based on the patient's symptoms (pain, bleeding, etc.) and their impact on the patient's quality of life.The documentation should clearly demonstrate the clinical need for examination and treatment of the hemorrhoids.If surgical intervention is required, the justification must indicate the failure of conservative measures.

The clinical responsibility falls on the physician or healthcare provider managing the postpartum patient's care. This may involve physical examination, assessment of the hemorrhoids, and treatment decisions which could range from conservative management to surgical intervention if indicated.

IMPORTANT:K64 (Hemorrhoids): This code is used for hemorrhoids not related to pregnancy or the postpartum period.O22.4 (Hemorrhoids in pregnancy): This code is for hemorrhoids that occur during pregnancy itself.

In simple words: This code is for hemorrhoids that happen after childbirth.Hemorrhoids are swollen veins in the anus and rectum that can cause pain, itching, and bleeding. If these problems start or get worse after giving birth, this code might be used.

This code classifies hemorrhoids that develop or are significantly exacerbated during the puerperium (the period after childbirth, typically lasting six weeks).It specifically refers to hemorrhoids arising as a complication of pregnancy, childbirth, or the postpartum period itself.This code should only be used for maternal records and not for newborn records.The condition should be directly related to or aggravated by the pregnancy, childbirth, or the puerperium.

Example 1: A 30-year-old woman develops significant hemorrhoid pain and bleeding two weeks postpartum.The obstetrician examines her, confirms the diagnosis of postpartum hemorrhoids (O87.2), and recommends conservative management with topical treatments and fiber supplementation., A 25-year-old woman presents with severe thrombosed hemorrhoids three weeks after vaginal delivery. The obstetrician performs an incision and drainage procedure, documenting the postpartum hemorrhoids (O87.2) as the primary diagnosis. The procedure would require separate CPT coding., A 35-year-old woman reports persistent hemorrhoid symptoms six weeks postpartum during her routine postpartum visit. The obstetrician evaluates the patient and determines that the hemorrhoids (O87.2) require further intervention and refers her to a colorectal surgeon for definitive treatment. The referral note should mention the postpartum nature of the issue and related pregnancy history.

Detailed obstetric history, including mode of delivery, presence of other postpartum complications, physical examination findings documenting the location, size, and severity of hemorrhoids, details of any treatment rendered, and any imaging studies if performed.

** This code is part of the broader category of complications predominantly related to the puerperium.It's crucial to differentiate this code from codes representing hemorrhoids unrelated to pregnancy or the postpartum period (K64.-).

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