tci General Surgery Coding Alert - 2017 Issue 2

Reader Question: Focus Hemorrhoid Codes by Method

Question: Could you please explain appropriate coding for a surgical note describes an “excision” of two internal hemorrhoid columns? I’m familiar with the hemorrhoid “ligation” codes, and I’d like to know if this is the same thing. Florida Subscriber Answer: No, an internal hemorrhoid excision is not the same as an internal hemorrhoid ligation. CPT® provides distinct codes for the procedures. For a ligation of multiple internal hemorrhoids, you would report 46946 (Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups) or 46221 (Hemorrhoidectomy, internal, by rubber band ligation[s]). But for...

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