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  6. 2024 ICD-10-CM Code K64
Version 2024
Non-Billable Code

2024 ICD-10-CM Diagnosis Code K64

Hemorrhoids and perianal venous thrombosis

ICD-10-CM Code:
K64
ICD-10 Code for:
Hemorrhoids and perianal venous thrombosis
Is Billable?
Not Valid for Submission
Code Navigator:

Code Classification

  • Diseases of the digestive system
    (K00–K95)
    • Other diseases of intestines
      (K55-K64)
      • Hemorrhoids and perianal venous thrombosis
        (K64)

K64 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of hemorrhoids and perianal venous thrombosis. The code is not specific and is NOT valid for the year 2024 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

Specific Coding Applicable to Hemorrhoids and perianal venous thrombosis

Non-specific codes like K64 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10-CM codes with a higher level of specificity when coding for hemorrhoids and perianal venous thrombosis:

  • Use K64.0 for First degree hemorrhoids - BILLABLE CODE

  • Use K64.1 for Second degree hemorrhoids - BILLABLE CODE

  • Use K64.2 for Third degree hemorrhoids - BILLABLE CODE

  • Use K64.3 for Fourth degree hemorrhoids - BILLABLE CODE

  • Use K64.4 for Residual hemorrhoidal skin tags - BILLABLE CODE

  • Use K64.5 for Perianal venous thrombosis - BILLABLE CODE

  • Use K64.8 for Other hemorrhoids - BILLABLE CODE

  • Use K64.9 for Unspecified hemorrhoids - BILLABLE CODE

Tabular List of Diseases and Injuries

The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.


Includes

Includes
This note appears immediately under a three character code title to further define, or give examples of, the content of the category.
  • piles

Type 1 Excludes

Type 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • hemorrhoids complicating childbirth and the puerperium O87.2
  • hemorrhoids complicating pregnancy O22.4

Patient Education


Hemorrhoids

What are hemorrhoids?

Hemorrhoids are swollen, inflamed veins around your anus or the lower part of your rectum. There are two types:

  • External hemorrhoids, which form under the skin around your anus
  • Internal hemorrhoids, which form in the lining of your anus and lower rectum

What causes hemorrhoids?

Hemorrhoids happen when there is too much pressure on the veins around the anus. This can be caused by:

  • Straining during bowel movements
  • Sitting on the toilet for long periods of time
  • Chronic constipation or diarrhea
  • A low-fiber diet
  • Weakening of the supporting tissues in your anus and rectum. This can happen with aging and pregnancy.
  • Frequently lifting heavy objects

What are the symptoms of hemorrhoids?

The symptoms of hemorrhoids depend on which type you have:

With external hemorrhoids, you may have:

  • Anal itching
  • One or more hard, tender lumps near your anus
  • Anal pain, especially when sitting

Too much straining, rubbing, or cleaning around your anus may make your symptoms worse. For many people, the symptoms of external hemorrhoids go away within a few days.

With internal hemorrhoids, you may have:

  • Bleeding from your rectum - you would see bright red blood in your stool, on toilet paper, or in the toilet bowl after a bowel movement
  • Prolapse, which is a hemorrhoid that has fallen through your anal opening

Internal hemorrhoids are usually not painful unless they are prolapsed. Prolapsed internal hemorrhoids may cause pain and discomfort.

How can I treat hemorrhoids at home?

You can most often treat your hemorrhoids at home by:

  • Eating foods that are high in fiber
  • Taking a stool softener or a fiber supplement
  • Drinking enough fluids every day
  • Not straining during bowel movements
  • Not sitting on the toilet for long periods of time
  • Taking over-the-counter pain relievers
  • Taking warm baths several times a day to help relieve pain. This could be a regular bath or a sitz bath. With a sitz bath, you use a special plastic tub that allows you to sit in a few inches of warm water.
  • Using over-the-counter hemorrhoid creams, ointments, or suppositories to relieve mild pain, swelling, and itching of external hemorrhoids

When do I need to see a health care provider for hemorrhoids?

You should see your health care provider if you:

  • Still have symptoms after 1 week of at-home treatment
  • Have bleeding from your rectum. Hemorrhoids are a common cause of bleeding, but other conditions can also cause bleeding. They include Crohn's disease, ulcerative colitis, colorectal cancer, and anal cancer. So it's important to see your provider to find the cause of the bleeding.

How are hemorrhoids diagnosed?

To make a diagnosis, your health care provider:

  • Will ask about your medical history
  • Will do a physical exam. Often providers can diagnose external hemorrhoids by looking at the area around your anus.
  • Will do a digital rectal exam to check for internal hemorrhoids. For this, the provider will insert a lubricated, gloved finger into the rectum to feel for anything that is abnormal.
  • May do procedures such as an anoscopy to check for internal hemorrhoids

What are the treatments for hemorrhoids?

If at-home treatments for hemorrhoids don't help you, you may need a medical procedure. There are several different procedures that your provider can do in the office. These procedures use different techniques to cause scar tissue to form in the hemorrhoids. This cuts off the blood supply, which usually shrinks the hemorrhoids. In severe cases, you may need surgery.

Can hemorrhoids be prevented?

You can help prevent hemorrhoids by:

  • Eating foods that are high in fiber
  • Taking a stool softener or a fiber supplement
  • Drinking enough fluids every day
  • Not straining during bowel movements
  • Not sitting on the toilet for long periods of time

NIH: National Institute of Diabetes and Digestive and Kidney Diseases


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Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.