ICD-10 Code K64.4 – Residual hemorrhoidal skin tags (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code K64.4 – Residual hemorrhoidal skin tags
What it is
K64.4 identifies residual hemorrhoidal skin tags, which are leftover folds of skin near the anus after hemorrhoids have resolved or changed. This code describes a physical finding, not an active hemorrhoid.
Clinical signs
Patients may have one or more soft, skin-colored tags around the anal margin. Clinical features vary; refer to documentation for associated irritation, hygiene difficulty, or discomfort.
When to use this code
Use K64.4 when the provider documents residual hemorrhoidal skin tags as the diagnosis or a current finding. It is appropriate when the record distinguishes these tags from active hemorrhoids, fissures, or other anorectal disease.
Code it when the encounter is for evaluation, documentation, or management of the residual tag itself. If the note only mentions hemorrhoids without specifying residual skin tags, check documentation.
Do not use for
Do not use K64.4 for active hemorrhoids, anal fissure, abscess, or other anorectal lesions. If the finding is uncertain or described differently, check documentation.
Coding tip
Assign K64.4 only when “residual hemorrhoidal skin tags” is clearly documented, because the code is specific to a residual finding.