ICD Code K64.4

ICD code K64.4 is used to identify and classify residual hemorrhoidal skin tags, which are small flaps of skin that remain after the swelling of hemorrhoids has subsided. These skin tags are typically benign and may not cause symptoms, but they can be a cosmetic concern or cause discomfort for some patients. This code helps healthcare providers document and manage the condition for billing and treatment purposes.

1. Presence of Skin Tags: The patient presents with visible skin tags in the anal region, which are remnants of previously inflamed or thrombosed hemorrhoids.

2. History of Hemorrhoids: The patient has a documented history of hemorrhoidal disease, including episodes of inflammation, thrombosis, or prolapse, which have resolved, leaving behind skin tags.

3. Absence of Active Hemorrhoidal Symptoms: The patient does not currently exhibit symptoms of active hemorrhoids, such as bleeding, pain, or prolapse.

4. Physical Examination Findings: During a physical examination, the healthcare provider identifies soft, painless, and non-tender skin tags in the perianal area.

5. Exclusion of Other Conditions: Other potential causes of perianal skin lesions, such as anal warts or skin infections, have been ruled out through clinical evaluation or diagnostic testing.

6. Patient's Symptom Description: The patient may report mild discomfort or hygiene issues related to the presence of skin tags but does not describe acute pain or bleeding.

7. Chronicity: The skin tags have been present for an extended period, typically following the resolution of acute hemorrhoidal episodes.

8. Non-Interference with Bowel Movements: The skin tags do not interfere with the patient's bowel movements or cause significant distress beyond cosmetic concerns.

For the ICD code K64.4, which pertains to residual hemorrhoidal skin tags, the relevant CPT codes that may be applicable for treatment include:

1. 46220 - Excision of single external papilla or tag, anus.

2. 46230 - Excision of multiple external papillae or tags, anus.

3. 46999 - Unlisted procedure, anus (used when a specific procedure does not have a designated CPT code).

These CPT codes are typically used to document and bill for the surgical removal of hemorrhoidal skin tags. It's important for healthcare providers to ensure accurate coding to facilitate proper reimbursement and compliance with payer requirements. Always verify with the latest coding guidelines and payer policies, as codes and their applicability can change.

Discover how MD Clarity's RevFind software can enhance your revenue cycle management by accurately reading your contracts and detecting underpayments for CPT codes associated with ICD code K64.4. Schedule a demo today to see how RevFind can help ensure you're receiving the full reimbursement you deserve.