ICD-10-CM 2027
ICD-10 code for internal hemorrhoids
From the official ICD-10-CM alphabetic index entry “Hemorrhoids (bleeding) (without mention of degree) › internal (without mention of degree)”. Page updated September 29, 2026.
About coding internal hemorrhoids
The ICD-10-CM code for internal hemorrhoids is K64.8 (Other hemorrhoids).
Within K64, choose K64.8 (Other hemorrhoids) only when documentation doesn't support a more specific option: first degree hemorrhoids (K64.0), second degree hemorrhoids (K64.1), third degree hemorrhoids (K64.2), fourth degree hemorrhoids (K64.3), residual hemorrhoidal skin tags (K64.4), perianal venous thrombosis (K64.5) and unspecified hemorrhoids (K64.9).
It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.
In MS-DRG v44.0, it is part of the grouping logic for DRG 393 (Other Digestive System Diagnoses with MCC, relative weight 1.5881), DRG 394 (Other Digestive System Diagnoses with CC, relative weight 0.9228) and DRG 395 (Other Digestive System Diagnoses without CC/MCC, relative weight 0.6382), in MDC 06 (Diseases and Disorders of the Digestive System), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.
Common questions about internal hemorrhoids ICD-10 codes
What is the ICD-10 code for internal hemorrhoids?
- K64.8 — Other hemorrhoids.
Is K64.8 billable?
- Yes. K64.8 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).
Can K64.8 be used as a principal diagnosis?
- Yes. The Medicare Code Editor doesn't restrict K64.8 as a principal diagnosis.
Is K64.8 a CC or MCC?
- No. K64.8 is neither a CC nor an MCC under MS-DRG v44.0.