tci General Surgery Coding Alert - 2019 Issue 2

Reader Question: Note Details Guide Hemorrhoidectomy Coding

Question: Our surgeon excised a second-degree internal hemorrhoid group due to uncontrollable rectal bleeding. How should we code this? SuperCoder Subscriber Answer: For the surgical procedure, you should report 46255 (Hemorrhoidectomy, internal and external, single column/group). The most specific ICD-10 code for the case is K64.1 (Second degree hemorrhoids). You should use this code because the surgeon documented that these are bleeding, second-degree hemorrhoids, which means that they prolapse but retract spontaneously. Without that specific information in the op report, the coder would have to choose a less-specific code, such as K64.9 (Unspecified hemorrhoids). Take away: Code...

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