tci General Surgery Coding Alert - 2023 Issue Q1

Reader Questions: Classify Internal and External Hemorrhoid Case

Question: Our surgeon excised a column of hemorrhoids that begins above the denate line but extends below it. How should we code the procedure?> Florida Subscriber> Answer: The denate line differentiates internal and hemorrhoids, with those above the line classified as internal, and those below the line classified as external. That means the case you describe involves a column of mixed internal and external hemorrhoids. Do this: Report the excision of this single hemorrhoid column as code the removal procedure under 46255 (Hemorrhoidectomy, internal and external, single column/ group). If the case involved multiple columns, you would turn...

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