tci General Surgery Coding Alert - 2015 Issue 3

Reader Question: Beware IRC Global Period

Question: Our surgeon saw a patient in the office, and advised a subsequent visit to perform IRC. The surgeon had also performed IRC last month. What is IRC, and how should I code the procedure and the office visit? Idaho Subscriber Answer: Surgeons may use Infrared Coagulation (IRC) as an office treatment for internal hemorrhoids. The surgeon uses a small probe to contact the area above the hemorrhoid that exposes the tissue to a burst of infrared light for about one second. This coagulates the veins above the hemorrhoid causing it to shrink and recede. IRC is a simple...

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