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2025 ICD-10-CM code O22.4

Hemorrhoids during pregnancy.

Code O22.4 should only be used for hemorrhoids that are directly related to or aggravated by pregnancy.If the hemorrhoids are not related to pregnancy, a different code would be necessary.

ICD-10-CM codes do not use modifiers.

Medical necessity for treatment of hemorrhoids during pregnancy is based on the severity of symptoms and their impact on the patient's well-being.Severe pain, significant bleeding, or interference with daily activities would justify intervention.

The clinical responsibility for managing hemorrhoids in pregnancy would typically fall on the obstetrician/gynecologist or family physician caring for the patient.Treatment may involve conservative measures such as lifestyle modifications (high-fiber diet, increased fluid intake, avoiding prolonged sitting or straining), topical medications, or, in some cases, surgical intervention.

IMPORTANT:Related codes within the O22 category include other venous complications of pregnancy (O22.0-O22.3, O22.5, O22.8, O22.9).

In simple words: Hemorrhoids are swollen veins in the anus or rectum.They are more common during pregnancy due to increased blood volume and pressure in the pelvic area.Symptoms include pain, itching, bleeding, and swelling.

Hemorrhoids in pregnancy are abnormally enlarged veins in the anus and rectum, a common complication during pregnancy.The increased blood volume and pressure in the pelvic area during pregnancy can contribute to their development or worsening of pre-existing conditions.Symptoms can include pain, itching, bleeding, and swelling.

Example 1: A 32-year-old woman at 36 weeks gestation presents with painful hemorrhoids. She reports bleeding and discomfort.The physician diagnoses her with hemorrhoids in pregnancy (O22.4) and recommends increased fiber intake, topical creams, and sitz baths., A 28-year-old pregnant patient in her second trimester is experiencing rectal bleeding and anal pain.Upon examination, the obstetrician identifies symptomatic hemorrhoids.The code O22.4 is applied to the medical record to document the diagnosis., A pregnant patient with a history of hemorrhoids experiences worsening symptoms in her third trimester. The physician documents the exacerbation of her pre-existing condition during pregnancy using code O22.4, detailing the management plan.

Documentation should include a detailed history of present illness, physical examination findings (including description of hemorrhoids), and treatment plan (medical management, surgical intervention if applicable).Note any associated symptoms such as bleeding, pain, or itching.

** Hemorrhoids are a common condition during pregnancy, and proper documentation is essential for accurate coding and reimbursement.Always ensure the diagnosis is directly related to the pregnancy.

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