Hemorrhoids in pregnancy, second trimester

This code identifies the presence of hemorrhoids that develop or are exacerbated during the second trimester of a pregnancy. Hemorrhoids are swollen veins in the rectum and anus, which can cause discomfort, itching, bleeding, and pain. In pregnancy, they are often due to increased pressure on pelvic veins and constipation.

Apply this code when a pregnant patient in her second trimester presents with a diagnosis of hemorrhoids, regardless of whether they are internal or external, thrombosed or non-thrombosed. Documentation should clearly state the presence of hemorrhoids and confirm the gestational trimester.

• Always sequence this code as a secondary diagnosis, following the code for the obstetric condition (e.g., Z3A.20 for gestational age).
• Do not use this code for hemorrhoids present prior to pregnancy or those developing in the first or third trimesters; specific codes exist for those scenarios.
• Ensure the medical record explicitly documents the trimester of pregnancy at the time of diagnosis or treatment for the hemorrhoids.