CPT Knowledgebase - Feb 23, 2015

A patient is admitted to the operating room for a proctoplasty and hemorrhoidal artery ligation with ultrasound guidance. According to the operative report, an anoscope was utilized and the artery was ligated with a defect left to allow the performance of the proctoplasty. A proctoscopy was performed using the previously thrown suture and throwing it to the level of the dentate line and then tying this back to the previously placed suture. Would it be appropriate to assign a code for both the hemorrhoidal ligation (0249T) and the proctoplasty (45505)?

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