Second degree hemorrhoids

This code identifies hemorrhoids that prolapse during defecation but spontaneously reduce. These are internal hemorrhoids that have progressed beyond first-degree, characterized by their tendency to protrude outside the anal canal with straining.

Apply this code when documentation specifies "second-degree hemorrhoids" or describes internal hemorrhoids that prolapse with defecation and spontaneously reduce. This diagnosis is typically made based on a physical examination, often an anoscopy or proctoscopy.

• Differentiate from first-degree hemorrhoids (no prolapse) and third-degree hemorrhoids (manual reduction required).
• Do not use for external hemorrhoids, which are coded differently.
• Sequence as a primary diagnosis if it is the reason for the encounter, or as a secondary diagnosis if treated concurrently with another condition.