2025 ICD-10-CM code K64
(Valid) Effective Date: N/A Diseases of the digestive system - Other diseases of intestines XI Feed
Hemorrhoids and perianal venous thrombosis.This includes piles.
Medical necessity for treatment of hemorrhoids and perianal venous thrombosis is established by the presence of symptoms impacting the patient's quality of life or complications such as significant bleeding, thrombosis, or strangulation. The chosen treatment must be appropriate for the severity of the condition and documented accordingly.
Clinicians diagnosing and managing hemorrhoids and perianal venous thrombosis are responsible for accurate assessment, staging of hemorrhoids if present, and appropriate treatment based on symptom severity and patient preferences.This may range from conservative management with dietary and lifestyle changes to medical interventions such as topical creams or suppositories, or surgical procedures in more severe cases. Proper documentation of findings, treatments, and patient education is essential.
In simple words: Hemorrhoids are swollen blood vessels near the anus or rectum. They can be internal (inside the anus), external (under the skin around the anus), or protrude from inside to outside. Symptoms include bleeding, itching, and pain, but not everyone with hemorrhoids experiences symptoms.
Hemorrhoids and perianal venous thrombosis are characterized by dilated veins in the rectum and surrounding area.Hemorrhoids are swollen, inflamed veins around the anus or lower rectum. They are either inside the anus (internal), under the skin around the anus (external), or protruding from inside to outside of the anus. People with hemorrhoids may or may not exhibit symptoms which include bleeding, itching, and pain.
Example 1: A 35-year-old pregnant woman presents with complaints of itching and occasional bleeding during bowel movements. Examination reveals external hemorrhoids. She is advised on high-fiber diet, increased fluid intake, and topical ointments., A 50-year-old male with chronic constipation complains of severe pain and bleeding upon defecation.Examination reveals prolapsed internal hemorrhoids requiring surgical intervention., A 60-year-old female presents with a painful lump near her anus.Diagnosis of perianal venous thrombosis is made, and she is managed with warm compresses and pain medication.
Documentation should include the location, type, and severity of hemorrhoids (if present), associated symptoms (bleeding, pain, itching, prolapse), any related conditions (e.g., constipation, pregnancy), and the treatment plan.For perianal venous thrombosis, documentation should describe the location, size, and appearance of the thrombus.
** Excludes1: hemorrhoids complicating childbirth and the puerperium (O87.2) hemorrhoids complicating pregnancy (O22.4)Excludes2: certain conditions originating in the perinatal period (P04-P96), certain infectious and parasitic diseases (A00-B99), complications of pregnancy, childbirth and the puerperium (O00-O9A), congenital malformations, deformations and chromosomal abnormalities (Q00-Q99), endocrine, nutritional and metabolic diseases (E00-E88), injury, poisoning and certain other consequences of external causes (S00-T88), neoplasms (C00-D49), symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
- Payment Status: Active
- Specialties:Gastroenterology, Proctology, General Surgery, Family Medicine, Internal Medicine
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center