K64.9
Unspecified hemorrhoids
Diseases of the digestive system Billable
Quick Reference
Internal or external hemorrhoids without specification of complications
Clinical Information
When to Use This Code
Internal or external hemorrhoids without specification of complications
Common Clinical Scenarios
- Rectal bleeding from hemorrhoids
- Anal pain with hemorrhoids
- Hemorrhoid banding or excision
- Topical hemorrhoid treatment
Documentation Requirements
- Specify internal vs external when known
- Document symptoms: bleeding, pain, prolapse, thrombosis
- Record grade (I-IV for internal hemorrhoids)
- Note treatments attempted (fiber, sitz baths, topical)
Coding Guidelines
Inclusion Terms
These terms are included in this code:
Hemorrhoids NOSPilesRectal varices
Exclusion Terms
Do NOT use this code for:
- Hemorrhoids in pregnancy (O22.4)
- Anal fissure (K60.0-K60.2)
Coding Notes
Very common condition
Use more specific codes when complications present
K64.0 for internal with bleeding, K64.5 for perianal thrombosis
Related ICD-10 Codes
Consider these related codes based on patient presentation:
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Code
K64.9
Category
Diseases of the digestive system
Billable Status
Billable
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