DB60.3

ICD-11 MMS 2026-01

Fourth degree haemorrhoids

Description

(grade IV): Fourth-degree haemorrhoids cannot be pushed back into the anal canal and permanently prolapsed.

Index terms

  • Fourth degree haemorrhoids
  • Grade IV haemorrhoids
  • Haemorrhoids (bleeding) with prolapsed tissue that cannot be manually reduced
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  • stage IV haemorrhoids

Inclusions

  • Haemorrhoids (bleeding) with prolapsed tissue that cannot be manually reduced

Exclusions from above levels

  • 01 – Certain infectious or parasitic diseases
  • 02 – Neoplasms
  • 05 – Endocrine, nutritional or metabolic diseases
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  • 06 – Mental, behavioural or neurodevelopmental disorders
  • 18 – Complications of pregnancy, childbirth and the puerperium
  • 22 – Injury, poisoning or certain other consequences of external causes

Sibling codes

  • DB60.0 – First degree haemorrhoids
  • DB60.1 – Second degree haemorrhoids
  • DB60.2 – Third degree haemorrhoids
  • DB60.Z – Haemorrhoids, unspecified

Foundation entity

Fourth degree haemorrhoids – http://id.who.int/icd/entity/2117585407

Allowed postcoordination axes

Part of: DB60: Haemorrhoids › 13: Diseases of the digestive system