ICD-10-CM Code K64.2

Third degree hemorrhoids

Version 2020 Billable Code

Valid for Submission

K64.2 is a billable code used to specify a medical diagnosis of third degree hemorrhoids. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code K64.2 might also be used to specify conditions or terms like internal hemorrhoids grade iii, pile reducible with difficulty, prolapsed grade iii internal hemorrhoid, prolapsed hemorrhoids, prolapsed hemorrhoids, prolapsed internal hemorrhoids, etc

Short Description:Third degree hemorrhoids
Long Description:Third degree hemorrhoids

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code K64.2:

Inclusion Terms

Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • Grade/stage III hemorrhoids
  • Hemorrhoids (bleeding) that prolapse with straining and require manual replacement back inside anal canal

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code K64.2 are found in the index:


The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Internal hemorrhoids grade III
  • Pile reducible with difficulty
  • Prolapsed grade III internal hemorrhoid
  • Prolapsed hemorrhoids
  • Prolapsed hemorrhoids
  • Prolapsed internal hemorrhoids
  • Reducibility of prolapsed pile

Diagnostic Related Groups

The ICD-10 code K64.2 is grouped in the following groups for version MS-DRG V37.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC).
applicable from 10/01/2020 through 09/30/2020.


Convert K64.2 to ICD-9

  • 455.0 - Int hemorrhoid w/o compl (Approximate Flag)
  • 455.1 - Int thrombos hemorrhoid (Approximate Flag)
  • 455.2 - Int hemrrhoid w comp NEC (Approximate Flag)
  • 455.5 - Ext hemrrhoid w comp NEC (Approximate Flag)
  • 455.6 - Hemorrhoids NOS (Approximate Flag)
  • 455.7 - Thrombos hemorrhoids NOS (Approximate Flag)
  • 455.8 - Hemrrhoid NOS w comp NEC (Approximate Flag)

Code Classification

  • Diseases of the digestive system (K00–K93)
    • Other diseases of intestines (K55-K64)
      • Hemorrhoids and perianal venous thrombosis (K64)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients


Hemorrhoids are swollen, inflamed veins around the anus or lower rectum. They are either inside the anus or under the skin around the anus. They often result from straining to have a bowel movement. Other factors include pregnancy, aging and chronic constipation or diarrhea.

Hemorrhoids are very common in both men and women. About half of all people have hemorrhoids by age 50. The most common symptom of hemorrhoids inside the anus is bright red blood covering the stool, on toilet paper or in the toilet bowl. Symptoms usually go away within a few days.

If you have rectal bleeding you should see a doctor. You need to make sure bleeding is not from a more serious condition such as colorectal or anal cancer. Treatment may include warm baths and a cream or other medicine. If you have large hemorrhoids, you may need surgery and other treatments.

NIH: National Institute of Diabetes and Digestive and Kidney Diseases

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