• In addition to internal or external hemorrhoids that may be thrombosed, use current terminology to describe hemorrhoids:
  • First degree or grade/stage 1 - without prolapse outside of anal canal
  • Second degree or grade/stage 2 - prolapse with straining, but retracts spontaneously
  • Third degree or grade/stage 3 - prolapse with straining, but requires manual replacement
  • Fourth degree or grade/stage 4 - prolapse with tissue that cannot be manually replaced
• If bleeding is present, clearly document in your notes as due to hemorrhoids or due to some other problem.

Adult (main)|Pediatrics (main)

Thanks to Advocate's Clinical Documentation Improvement and Coding teams for their assistance with this content.

Please enter your comments below for us to update this information based on your feedback.