ICD-10-CM K64: Hemorrhoids and perianal venous thrombosis

ICD-10-CM Diagnosis Code (2025)

Official Description for K64

Hemorrhoids and perianal venous thrombosis

Coding Notes & Guidelines for K64

Includes Notes

piles

Excludes1: Not Coded Here
  • hemorrhoids complicating childbirth and the puerperium (O87.2)
  • hemorrhoids complicating pregnancy (O22.4)
Inclusion Terms
  • Grade/stage I hemorrhoids
  • Hemorrhoids (bleeding) without prolapse outside of anal canal
Inclusion Terms
  • Grade/stage II hemorrhoids
  • Hemorrhoids (bleeding) that prolapse with straining, but retract spontaneously
Inclusion Terms
  • Grade/stage III hemorrhoids
  • Hemorrhoids (bleeding) that prolapse with straining and require manual replacement back inside anal canal
Inclusion Terms
  • Grade/stage IV hemorrhoids
  • Hemorrhoids (bleeding) with prolapsed tissue that cannot be manually replaced
Inclusion Terms
  • External hemorrhoids, NOS
  • Skin tags of anus
Inclusion Terms
  • External hemorrhoids with thrombosis
  • Perianal hematoma
  • Thrombosed hemorrhoids NOS
Inclusion Terms
  • Internal hemorrhoids, without mention of degree
  • Prolapsed hemorrhoids, degree not specified
Inclusion Terms
  • Hemorrhoids (bleeding) NOS
  • Hemorrhoids (bleeding) without mention of degree

Child Codes (More Specific Codes for K64):

K64.0 - First degree hemorrhoids K64.1 - Second degree hemorrhoids K64.2 - Third degree hemorrhoids K64.3 - Fourth degree hemorrhoids K64.4 - Residual hemorrhoidal skin tags K64.5 - Perianal venous thrombosis K64.8 - Other hemorrhoids K64.9 - Unspecified hemorrhoids

About ICD-10-CM Code K64 (Hemorrhoids and perianal venous thrombosis)

ICD-10-CM code K64 is a billable or specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2025 edition of ICD-10-CM K64 became effective on October 1, 2024.

This page provides detailed information about K64 - Hemorrhoids and perianal venous thrombosis. It includes common terminology, coding guidelines such as "Includes," "Excludes1," and "Excludes2" notes, and information on required 7th characters. Utilizing this information correctly is essential for accurate medical coding and claims submission for conditions like Hemorrhoids and perianal venous thrombosis.