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Home/Diagnosis/ICD-10 Coding for Rectal Pain

ICD-10 Coding for Rectal Pain

K64.0
K61.1

Complete ICD-10-CM coding and documentation guide for icd-10 coding for rectal pain includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Anorectal Pain
Proctalgia
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Key Information: ICD-10 Coding for Rectal Pain

Essential facts and insights about ICD-10 Coding for Rectal Pain

Use ICD-10 code K64.0 for first degree hemorrhoids, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

First degree hemorrhoids

Billable Code
K64.0
Billable

Diagnostic Criteria

clinical:
  • • Presence of non-prolapsing hemorrhoids on examination

Applicable To

  • • Non-prolapsing hemorrhoids

Important Notes

  • • Ensure hemorrhoid grade is documented to avoid unspecified coding.

Rectal abscess

Billable Code
K61.1
Billable

Diagnostic Criteria

clinical:
  • • Imaging confirmation of abscess

Applicable To

  • • Perirectal abscess

Important Notes

  • • Ensure imaging findings are documented to support the diagnosis.
Ancillary Codes

Additional codes that may be used with this diagnosis

R10.32

Left lower quadrant pain

Use to document associated pain symptoms when the primary cause is hemorrhoids.

L02.211

Cutaneous abscess of buttock

Use if there is an associated cutaneous abscess.

Frequently Asked Questions

What is the ICD-10 code for rectal pain?

The ICD-10 code for rectal pain is typically R10.32 when associated with lower quadrant pain, but specific causes like hemorrhoids or abscesses have their own codes.

How do you code hemorrhoids causing rectal pain?

Use K64.0 for non-prolapsing hemorrhoids and K64.2 for third-degree hemorrhoids causing rectal pain, ensuring documentation specifies the grade.

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