2026 ICD-10-CM Diagnosis Code K64.0First degree hemorrhoids

ICD-10-CM CodesK00–K95K55-K64K64

ICD-10-CM K64.0
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

K64.0 is a billable ICD-10-CM diagnosis code for first degree hemorrhoids. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 393 through 395. Coders also document this condition as bleeding hemorrhoids. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Hemorrhoids.

Code Identity

ICD-10-CM Code
K64.0
Billable Status
Yes — Valid for Submission
Code Describes
First degree hemorrhoids
Short Description
First degree hemorrhoids
Same as the full description in the CMS dataset.
Parent Code
Hemorrhoids and perianal venous thrombosis

Code Classification

ChapterK00–K95Diseases of the digestive system
SectionK55-K64Other diseases of intestines
CategoryK64Hemorrhoids and perianal venous thrombosis
This CodeK64.0First degree hemorrhoids

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Bleeding hemorrhoids
  • Bleeding internal hemorrhoid grade I
  • Bleeding internal hemorrhoids
  • Internal hemorrhoids grade I

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Inclusion Terms

  • Grade/stage I hemorrhoids
  • Hemorrhoids (bleeding) without prolapse outside of anal canal

Index to Diseases and InjuriesGuidance

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Hemorrhoids(bleeding) (without mention of degree)
      • 1st degree (grade/stage I) (without prolapse outside of anal canal)

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR DIG014
Hemorrhoids
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Hemorrhoids

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

The full article covers:

  • What are hemorrhoids?
  • What causes hemorrhoids?
  • What are the symptoms of hemorrhoids?
  • How can I treat hemorrhoids at home?
  • When do I need to see a health care provider for hemorrhoids?
  • How are hemorrhoids diagnosed?
  • What are the treatments for hemorrhoids?
  • Can hemorrhoids be prevented?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert K64.0 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
455.0 Int hemorrhoid w/o compl
Approximate The match is approximate rather than exact.
ICD-9-CM
455.1 Int thrombos hemorrhoid
Approximate The match is approximate rather than exact.
ICD-9-CM
455.2 Int hemrrhoid w comp NEC
Approximate The match is approximate rather than exact.
ICD-9-CM
455.5 Ext hemrrhoid w comp NEC
Approximate The match is approximate rather than exact.
ICD-9-CM
455.6 Hemorrhoids NOS
Approximate The match is approximate rather than exact.
ICD-9-CM
455.7 Thrombos hemorrhoids NOS
Approximate The match is approximate rather than exact.
ICD-9-CM
455.8 Hemrrhoid NOS w comp NEC
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About K64.0Overview

Is K64.0 (Hemorrhoids and perianal venous thrombosis) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report first degree hemorrhoids on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does K64.0 group to?

When first degree hemorrhoids is the principal diagnosis on an inpatient stay, it groups to MS-DRG 393, 394, 395, with relative weights from 0.6490 to 1.5993 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of K64.0?

Under the General Equivalence Mappings, first degree hemorrhoids converts to ICD-9-CM 455.0 (int hemorrhoid w/o compl), 455.1 (int thrombos hemorrhoid), and 455.2 (int hemrrhoid w comp NEC). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:

  • The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
  • The condition places limitations on self-care, independent living, and social interactions.