Haemorrhoids G001
Current RMA Instruments
| 19 of 2026 | |
| 20 of 2026 |
Changes from previous Instruments
ICD Coding
- ICD-10-AM Codes: K644, O22.4, O87.2
Brief description
Haemorrhoids are normal vascular structures in the anal canal. The condition "haemorrhoids" occurs when these structures become enlarged, inflamed, thrombosed, prolapsed or bleed, resulting in symptoms. Common symptoms include bright red rectal bleeding, anal itching (pruritis), discomfort, prolapse or pain, particularly when thrombosis occurs.
Confirming the diagnosis
Diagnosis is made based on clinical history and physical examination, including inspection and where appropriate, digital rectal examination or anoscopy.
The diagnosis can be made by a general practitioner in many cases. Further assessment or management may be required by general surgeons or colorectal surgeons.
Additional diagnoses covered by SOP
- External haemorrhoids
- Internal haemorrhoids
- Piles
- Thrombosed external haemorrhoid (pile)
Conditions not covered by SOP
- Anorectal varices #
- Asymptomatic (enlarged) haemorrhoids (not a disease or injury)
* another SOP applies - the SOP has the same name unless otherwise specified
# non-SOP condition
Clinical onset
Clinical onset refers to the time when symptoms attributable to haemorrhoids were first present. Enlarged haemorrhoidal cushions may be present without symptoms and may be found incidentally; however, these do not constitute haemorrhoidal disease. Symptoms may include rectal bleeding, itching, prolapse, or pain, particularly in cases of thrombosis. Onset should be attributable to the time when these symptoms first occurred and are not explained by another condition.
Clinical worsening
Haemorrhoids may remain stable or progress gradually over time. Clinical worsening may be indicated by increasing severity or frequency of symptoms, progression in haemorrhoidal grade, recurrent or increased bleeding, or the need for procedural or surgical intervention. Management may include conservative measures (such as dietary modification and topical treatments), office-based procedures (e.g. banding), or surgical treatment. Specialist opinion may be required to determine whether any deterioration represents worsening beyond the expected course of the condition.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/sops-grouped-icd-body-system/h-l/haemorrhoids-g001-i84o224o872
Factors in CCPS as at 19 June 2008 (G001)
Current RMA Instruments
| 19 of 2026 | |
| 20 of 2026 |
Changes from previous Instruments
ICD Coding
- ICD-10-AM Codes: K644, O22.4, O87.2
Brief description
Haemorrhoids are normal vascular structures in the anal canal. The condition "haemorrhoids" occurs when these structures become enlarged, inflamed, thrombosed, prolapsed or bleed, resulting in symptoms. Common symptoms include bright red rectal bleeding, anal itching (pruritis), discomfort, prolapse or pain, particularly when thrombosis occurs.
Confirming the diagnosis
Diagnosis is made based on clinical history and physical examination, including inspection and where appropriate, digital rectal examination or anoscopy.
The diagnosis can be made by a general practitioner in many cases. Further assessment or management may be required by general surgeons or colorectal surgeons.
Additional diagnoses covered by SOP
- External haemorrhoids
- Internal haemorrhoids
- Piles
- Thrombosed external haemorrhoid (pile)
Conditions not covered by SOP
- Anorectal varices #
- Asymptomatic (enlarged) haemorrhoids (not a disease or injury)
* another SOP applies - the SOP has the same name unless otherwise specified
# non-SOP condition
Clinical onset
Clinical onset refers to the time when symptoms attributable to haemorrhoids were first present. Enlarged haemorrhoidal cushions may be present without symptoms and may be found incidentally; however, these do not constitute haemorrhoidal disease. Symptoms may include rectal bleeding, itching, prolapse, or pain, particularly in cases of thrombosis. Onset should be attributable to the time when these symptoms first occurred and are not explained by another condition.
Clinical worsening
Haemorrhoids may remain stable or progress gradually over time. Clinical worsening may be indicated by increasing severity or frequency of symptoms, progression in haemorrhoidal grade, recurrent or increased bleeding, or the need for procedural or surgical intervention. Management may include conservative measures (such as dietary modification and topical treatments), office-based procedures (e.g. banding), or surgical treatment. Specialist opinion may be required to determine whether any deterioration represents worsening beyond the expected course of the condition.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/h-l/haemorrhoids-g001-i84o224o872/rulebase-haemorrhoids
Being obese
Current RMA Instruments
| 19 of 2026 | |
| 20 of 2026 |
Changes from previous Instruments
ICD Coding
- ICD-10-AM Codes: K644, O22.4, O87.2
Brief description
Haemorrhoids are normal vascular structures in the anal canal. The condition "haemorrhoids" occurs when these structures become enlarged, inflamed, thrombosed, prolapsed or bleed, resulting in symptoms. Common symptoms include bright red rectal bleeding, anal itching (pruritis), discomfort, prolapse or pain, particularly when thrombosis occurs.
Confirming the diagnosis
Diagnosis is made based on clinical history and physical examination, including inspection and where appropriate, digital rectal examination or anoscopy.
The diagnosis can be made by a general practitioner in many cases. Further assessment or management may be required by general surgeons or colorectal surgeons.
Additional diagnoses covered by SOP
- External haemorrhoids
- Internal haemorrhoids
- Piles
- Thrombosed external haemorrhoid (pile)
Conditions not covered by SOP
- Anorectal varices #
- Asymptomatic (enlarged) haemorrhoids (not a disease or injury)
* another SOP applies - the SOP has the same name unless otherwise specified
# non-SOP condition
Clinical onset
Clinical onset refers to the time when symptoms attributable to haemorrhoids were first present. Enlarged haemorrhoidal cushions may be present without symptoms and may be found incidentally; however, these do not constitute haemorrhoidal disease. Symptoms may include rectal bleeding, itching, prolapse, or pain, particularly in cases of thrombosis. Onset should be attributable to the time when these symptoms first occurred and are not explained by another condition.
Clinical worsening
Haemorrhoids may remain stable or progress gradually over time. Clinical worsening may be indicated by increasing severity or frequency of symptoms, progression in haemorrhoidal grade, recurrent or increased bleeding, or the need for procedural or surgical intervention. Management may include conservative measures (such as dietary modification and topical treatments), office-based procedures (e.g. banding), or surgical treatment. Specialist opinion may be required to determine whether any deterioration represents worsening beyond the expected course of the condition.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/h-l/haemorrhoids-g001-i84o224o872/rulebase-haemorrhoids/being-obese
Inability to obtain appropriate clinical management for haemorrhoids
Current RMA Instruments
| 19 of 2026 | |
| 20 of 2026 |
Changes from previous Instruments
ICD Coding
- ICD-10-AM Codes: K644, O22.4, O87.2
Brief description
Haemorrhoids are normal vascular structures in the anal canal. The condition "haemorrhoids" occurs when these structures become enlarged, inflamed, thrombosed, prolapsed or bleed, resulting in symptoms. Common symptoms include bright red rectal bleeding, anal itching (pruritis), discomfort, prolapse or pain, particularly when thrombosis occurs.
Confirming the diagnosis
Diagnosis is made based on clinical history and physical examination, including inspection and where appropriate, digital rectal examination or anoscopy.
The diagnosis can be made by a general practitioner in many cases. Further assessment or management may be required by general surgeons or colorectal surgeons.
Additional diagnoses covered by SOP
- External haemorrhoids
- Internal haemorrhoids
- Piles
- Thrombosed external haemorrhoid (pile)
Conditions not covered by SOP
- Anorectal varices #
- Asymptomatic (enlarged) haemorrhoids (not a disease or injury)
* another SOP applies - the SOP has the same name unless otherwise specified
# non-SOP condition
Clinical onset
Clinical onset refers to the time when symptoms attributable to haemorrhoids were first present. Enlarged haemorrhoidal cushions may be present without symptoms and may be found incidentally; however, these do not constitute haemorrhoidal disease. Symptoms may include rectal bleeding, itching, prolapse, or pain, particularly in cases of thrombosis. Onset should be attributable to the time when these symptoms first occurred and are not explained by another condition.
Clinical worsening
Haemorrhoids may remain stable or progress gradually over time. Clinical worsening may be indicated by increasing severity or frequency of symptoms, progression in haemorrhoidal grade, recurrent or increased bleeding, or the need for procedural or surgical intervention. Management may include conservative measures (such as dietary modification and topical treatments), office-based procedures (e.g. banding), or surgical treatment. Specialist opinion may be required to determine whether any deterioration represents worsening beyond the expected course of the condition.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/h-l/haemorrhoids-g001-i84o224o872/rulebase-haemorrhoids/inability-obtain-appropriate-clinical-management-haemorrhoids
Pregnancy
Current RMA Instruments
| 19 of 2026 | |
| 20 of 2026 |
Changes from previous Instruments
ICD Coding
- ICD-10-AM Codes: K644, O22.4, O87.2
Brief description
Haemorrhoids are normal vascular structures in the anal canal. The condition "haemorrhoids" occurs when these structures become enlarged, inflamed, thrombosed, prolapsed or bleed, resulting in symptoms. Common symptoms include bright red rectal bleeding, anal itching (pruritis), discomfort, prolapse or pain, particularly when thrombosis occurs.
Confirming the diagnosis
Diagnosis is made based on clinical history and physical examination, including inspection and where appropriate, digital rectal examination or anoscopy.
The diagnosis can be made by a general practitioner in many cases. Further assessment or management may be required by general surgeons or colorectal surgeons.
Additional diagnoses covered by SOP
- External haemorrhoids
- Internal haemorrhoids
- Piles
- Thrombosed external haemorrhoid (pile)
Conditions not covered by SOP
- Anorectal varices #
- Asymptomatic (enlarged) haemorrhoids (not a disease or injury)
* another SOP applies - the SOP has the same name unless otherwise specified
# non-SOP condition
Clinical onset
Clinical onset refers to the time when symptoms attributable to haemorrhoids were first present. Enlarged haemorrhoidal cushions may be present without symptoms and may be found incidentally; however, these do not constitute haemorrhoidal disease. Symptoms may include rectal bleeding, itching, prolapse, or pain, particularly in cases of thrombosis. Onset should be attributable to the time when these symptoms first occurred and are not explained by another condition.
Clinical worsening
Haemorrhoids may remain stable or progress gradually over time. Clinical worsening may be indicated by increasing severity or frequency of symptoms, progression in haemorrhoidal grade, recurrent or increased bleeding, or the need for procedural or surgical intervention. Management may include conservative measures (such as dietary modification and topical treatments), office-based procedures (e.g. banding), or surgical treatment. Specialist opinion may be required to determine whether any deterioration represents worsening beyond the expected course of the condition.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/h-l/haemorrhoids-g001-i84o224o872/rulebase-haemorrhoids/pregnancy
Spinal cord injury
Current RMA Instruments
| 19 of 2026 | |
| 20 of 2026 |
Changes from previous Instruments
ICD Coding
- ICD-10-AM Codes: K644, O22.4, O87.2
Brief description
Haemorrhoids are normal vascular structures in the anal canal. The condition "haemorrhoids" occurs when these structures become enlarged, inflamed, thrombosed, prolapsed or bleed, resulting in symptoms. Common symptoms include bright red rectal bleeding, anal itching (pruritis), discomfort, prolapse or pain, particularly when thrombosis occurs.
Confirming the diagnosis
Diagnosis is made based on clinical history and physical examination, including inspection and where appropriate, digital rectal examination or anoscopy.
The diagnosis can be made by a general practitioner in many cases. Further assessment or management may be required by general surgeons or colorectal surgeons.
Additional diagnoses covered by SOP
- External haemorrhoids
- Internal haemorrhoids
- Piles
- Thrombosed external haemorrhoid (pile)
Conditions not covered by SOP
- Anorectal varices #
- Asymptomatic (enlarged) haemorrhoids (not a disease or injury)
* another SOP applies - the SOP has the same name unless otherwise specified
# non-SOP condition
Clinical onset
Clinical onset refers to the time when symptoms attributable to haemorrhoids were first present. Enlarged haemorrhoidal cushions may be present without symptoms and may be found incidentally; however, these do not constitute haemorrhoidal disease. Symptoms may include rectal bleeding, itching, prolapse, or pain, particularly in cases of thrombosis. Onset should be attributable to the time when these symptoms first occurred and are not explained by another condition.
Clinical worsening
Haemorrhoids may remain stable or progress gradually over time. Clinical worsening may be indicated by increasing severity or frequency of symptoms, progression in haemorrhoidal grade, recurrent or increased bleeding, or the need for procedural or surgical intervention. Management may include conservative measures (such as dietary modification and topical treatments), office-based procedures (e.g. banding), or surgical treatment. Specialist opinion may be required to determine whether any deterioration represents worsening beyond the expected course of the condition.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/h-l/haemorrhoids-g001-i84o224o872/rulebase-haemorrhoids/spinal-cord-injury
Straining at stool due to constipation or diarrhoea
Current RMA Instruments
| 19 of 2026 | |
| 20 of 2026 |
Changes from previous Instruments
ICD Coding
- ICD-10-AM Codes: K644, O22.4, O87.2
Brief description
Haemorrhoids are normal vascular structures in the anal canal. The condition "haemorrhoids" occurs when these structures become enlarged, inflamed, thrombosed, prolapsed or bleed, resulting in symptoms. Common symptoms include bright red rectal bleeding, anal itching (pruritis), discomfort, prolapse or pain, particularly when thrombosis occurs.
Confirming the diagnosis
Diagnosis is made based on clinical history and physical examination, including inspection and where appropriate, digital rectal examination or anoscopy.
The diagnosis can be made by a general practitioner in many cases. Further assessment or management may be required by general surgeons or colorectal surgeons.
Additional diagnoses covered by SOP
- External haemorrhoids
- Internal haemorrhoids
- Piles
- Thrombosed external haemorrhoid (pile)
Conditions not covered by SOP
- Anorectal varices #
- Asymptomatic (enlarged) haemorrhoids (not a disease or injury)
* another SOP applies - the SOP has the same name unless otherwise specified
# non-SOP condition
Clinical onset
Clinical onset refers to the time when symptoms attributable to haemorrhoids were first present. Enlarged haemorrhoidal cushions may be present without symptoms and may be found incidentally; however, these do not constitute haemorrhoidal disease. Symptoms may include rectal bleeding, itching, prolapse, or pain, particularly in cases of thrombosis. Onset should be attributable to the time when these symptoms first occurred and are not explained by another condition.
Clinical worsening
Haemorrhoids may remain stable or progress gradually over time. Clinical worsening may be indicated by increasing severity or frequency of symptoms, progression in haemorrhoidal grade, recurrent or increased bleeding, or the need for procedural or surgical intervention. Management may include conservative measures (such as dietary modification and topical treatments), office-based procedures (e.g. banding), or surgical treatment. Specialist opinion may be required to determine whether any deterioration represents worsening beyond the expected course of the condition.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/h-l/haemorrhoids-g001-i84o224o872/rulebase-haemorrhoids/straining-stool-due-constipation-or-diarrhoea