ICD Code K64.4

ICD code K64.4 is residual hemorrhoidal skin tags, which refers to leftover skin tags around the anus that remain after hemorrhoids have healed or been treated.

1. Presence of skin tags in the perianal region following previous hemorrhoidal disease or treatment

2. Absence of active hemorrhoidal bleeding, prolapse, or thrombosis

3. Patient history of resolved or treated hemorrhoids

4. Physical examination confirming non-inflamed, non-tender, residual skin tags

5. No evidence of acute anorectal pathology such as fissures, abscesses, or fistulas

Relevant CPT codes for ICD K64.4 include:

- 46220: Excision of external tags, any number

- 46999: Unlisted procedure, anus

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