Hemorrhoids in pregnancy, first trimester

This code signifies the presence of hemorrhoids that develop or are exacerbated during the first trimester of a pregnancy. These are swollen veins in the rectum or anus, causing symptoms such as pain, itching, or bleeding, specifically occurring in the initial three months of gestation.

Apply this code when a pregnant patient presents with documented hemorrhoids and the encounter occurs during her first trimester. Documentation should clearly state the presence of hemorrhoids and the gestational period.

• Always confirm the trimester of pregnancy from the medical record.
• Do not use this code if the hemorrhoids are unrelated to the pregnancy or if the patient is not pregnant.
• Sequence this code as a secondary diagnosis following the appropriate code for the pregnancy (e.g., Z3A.xx for weeks of gestation).