{"code":"K64","type":"category","title":"Hemorrhoids and perianal venous thrombosis","codeAlso":[],"includes":["piles"],"modern_v":"official26","codeFirst":[],"excludes1":["hemorrhoids complicating childbirth and the puerperium (O87.2)","hemorrhoids complicating pregnancy (O22.4)"],"excludes2":[],"isBillable":false,"fyEffectivity":{"fy2026":true,"fy2027":true},"sibling_codes":["K64.0","K64.1","K64.2","K64.3","K64.4","K64.5","K64.8","K64.9"],"inclusionTerms":[],"sibling_titles":{"code":"K64.9","title":"Unspecified hemorrhoids","isBillable":true},"useAdditionalCode":[],"clinicalDefinition":"Hemorrhoids and perianal venous thrombosis is a non-billable ICD-10-CM category code (K64). A more specific billable subcode must be selected for claims submission. Includes: piles. Excludes1 (not coded here): hemorrhoids complicating childbirth and the puerperium (O87.2); hemorrhoids complicating pregnancy (O22.4).","officialDefinition":"Hemorrhoids and perianal venous thrombosis is a non-billable ICD-10-CM category code (K64). A more specific billable subcode must be selected for claims submission. Includes: piles. Excludes1 (not coded here): hemorrhoids complicating childbirth and the puerperium (O87.2); hemorrhoids complicating pregnancy (O22.4).","seventhCharacterInstructions":[],"workflowProtocols":[],"guidelines":{"whenToUse":[],"whenNotToUse":[],"commonBillingMistakes":[],"codeComparisons":[],"documentationChecklist":[]},"domainLandscape":{"summary":"Primary diagnostic domain and clinical landscape evaluation.","keyCategories":[],"diagnosticContinuum":"Progression continuum from acute presentation to resolution."},"children":[{"code":"K64.0","title":"First degree hemorrhoids","description":"First degree hemorrhoids is a billable ICD-10-CM diagnosis code (K64.0). Includes: piles. Inclusion terms: Grade/stage I hemorrhoids; Hemorrhoids (bleeding) without prolapse outside of anal canal. Excludes1 (not coded here): hemorrhoids complicating childbirth and the puerperium (O87.2); hemorrhoids complicating pregnancy (O22.4).","isBillable":true,"slug":"k64.0-first-degree-hemorrhoids"},{"code":"K64.1","title":"Second degree hemorrhoids","description":"Second degree hemorrhoids is a billable ICD-10-CM diagnosis code (K64.1). Includes: piles. Inclusion terms: Grade/stage II hemorrhoids; Hemorrhoids (bleeding) that prolapse with straining, but retract spontaneously. Excludes1 (not coded here): hemorrhoids complicating childbirth and the puerperium (O87.2); hemorrhoids complicating pregnancy (O22.4).","isBillable":true,"slug":"k64.1-second-degree-hemorrhoids"},{"code":"K64.2","title":"Third degree hemorrhoids","description":"Third degree hemorrhoids is a billable ICD-10-CM diagnosis code (K64.2). Includes: piles. Inclusion terms: Grade/stage III hemorrhoids; Hemorrhoids (bleeding) that prolapse with straining and require manual replacement back inside anal canal. Excludes1 (not coded here): hemorrhoids complicating childbirth and the puerperium (O87.2); hemorrhoids complicating pregnancy (O22.4).","isBillable":true,"slug":"k64.2-third-degree-hemorrhoids"},{"code":"K64.3","title":"Fourth degree hemorrhoids","description":"Fourth degree hemorrhoids is a billable ICD-10-CM diagnosis code (K64.3). Includes: piles. Inclusion terms: Grade/stage IV hemorrhoids; Hemorrhoids (bleeding) with prolapsed tissue that cannot be manually replaced. Excludes1 (not coded here): hemorrhoids complicating childbirth and the puerperium (O87.2); hemorrhoids complicating pregnancy (O22.4).","isBillable":true,"slug":"k64.3-fourth-degree-hemorrhoids"},{"code":"K64.4","title":"Residual hemorrhoidal skin tags","description":"Residual hemorrhoidal skin tags is a billable ICD-10-CM diagnosis code (K64.4). Includes: piles. Inclusion terms: External hemorrhoids, NOS; Skin tags of anus. Excludes1 (not coded here): hemorrhoids complicating childbirth and the puerperium (O87.2); hemorrhoids complicating pregnancy (O22.4).","isBillable":true,"slug":"k64.4-residual-hemorrhoidal-skin-tags"},{"code":"K64.5","title":"Perianal venous thrombosis","description":"Perianal venous thrombosis is a billable ICD-10-CM diagnosis code (K64.5). Includes: piles. Inclusion terms: External hemorrhoids with thrombosis; Perianal hematoma; Thrombosed hemorrhoids NOS. Excludes1 (not coded here): hemorrhoids complicating childbirth and the puerperium (O87.2); hemorrhoids complicating pregnancy (O22.4).","isBillable":true,"slug":"k64.5-perianal-venous-thrombosis"},{"code":"K64.8","title":"Other hemorrhoids","description":"Other hemorrhoids is a billable ICD-10-CM diagnosis code (K64.8). Includes: piles. Inclusion terms: Internal hemorrhoids, without mention of degree; Prolapsed hemorrhoids, degree not specified. Excludes1 (not coded here): hemorrhoids complicating childbirth and the puerperium (O87.2); hemorrhoids complicating pregnancy (O22.4).","isBillable":true,"slug":"k64.8-other-hemorrhoids"},{"code":"K64.9","title":"Unspecified hemorrhoids","description":"Unspecified hemorrhoids is a billable ICD-10-CM diagnosis code (K64.9). Includes: piles. Inclusion terms: Hemorrhoids (bleeding) NOS; Hemorrhoids (bleeding) without mention of degree. Excludes1 (not coded here): hemorrhoids complicating childbirth and the puerperium (O87.2); hemorrhoids complicating pregnancy (O22.4).","isBillable":true,"slug":"k64.9-unspecified-hemorrhoids"}],"hierarchy":[],"relatedCodes":[],"relevantCPTCodes":[],"documentationTips":[],"caseStudies":[],"description":"","overview":""}