First degree hemorrhoids

This code represents internal hemorrhoids that bleed but do not prolapse outside the anal canal. These are characterized by engorged vascular cushions located above the dentate line. Patients typically present with painless rectal bleeding, often noted on toilet paper or in the toilet bowl.

Assign this code when documentation clearly indicates first-degree internal hemorrhoids. This diagnosis is supported by findings from anoscopy or proctoscopy revealing internal hemorrhoids that do not protrude with straining. Use this code for initial presentations or follow-up of non-prolapsing internal hemorrhoids.

• Ensure documentation specifies "first-degree" or describes characteristics consistent with non-prolapsing internal hemorrhoids.
• Do not use for external hemorrhoids or internal hemorrhoids with prolapse; these require different codes.
• Consider an additional code for any associated complications, such as anemia due to chronic blood loss, if documented.