O22.4 — Hemorrhoids in pregnancy
O22.4 is a non-billable header ICD-10-CM code for hemorrhoids in pregnancy. It cannot be billed on its own: choose one of the more specific child codes below.
Other codes that can never be billed with O22.4
These codes carry an Excludes1 note pointing at O22.4. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading O22.4 alone.
- K64Hemorrhoids and perianal venous thrombosis
Risk adjustment
O22.4 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
How O22.4 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to O22.4.
- Hemorrhoids›complicating›pregnancy
Code to one of these instead O22.4
4 child codes. Green means billable.
Related codes at this level
Codes that share O22. If O22.4 is not quite right, the correct code is usually one of these.
- O22.0Varicose veins of lower extremity in pregnancy
- O22.1Genital varices in pregnancy
- O22.2Superficial thrombophlebitis in pregnancy
- O22.3Deep phlebothrombosis in pregnancy
- O22.5Cerebral venous thrombosis in pregnancy
- O22.8Other venous complications in pregnancy
- O22.9Venous complication in pregnancy, unspecified
Questions about O22.4
- Is O22.4 a billable ICD-10-CM code?
- No. O22.4 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does O22.4 sit in the tabular list?
- Pregnancy, childbirth and the puerperium (O00-O9A), in the block Other maternal disorders predominantly related to pregnancy (O20-O29).