Third degree hemorrhoids

This code signifies hemorrhoids that are permanently prolapsed and cannot be manually reduced. These are often associated with significant discomfort, bleeding, and discharge.

Use this code when documentation clearly indicates permanently prolapsed hemorrhoids that remain outside the anus. This diagnosis is supported by physician notes describing the inability to reduce the hemorrhoids manually or spontaneously.

• Differentiate from K64.1 (second degree) where hemorrhoids prolapse but spontaneously reduce.
• Ensure documentation specifies "third degree" or describes permanent prolapse.
• Code any associated complications, such as thrombosis or ulceration, separately.