tci General Surgery Coding Alert - 2005 Issue 2

Reader Questions: One Code Describes Hemorrhoid Removal With Fissure

Question: How can I code treatment of anal fissure during hemorrhoid removal?Arizona Subscriber Answer: You can choose from a number of possible codes, depending on exactly what the surgeon did in the operating room.A fissure is a chronic crack in the anoderm that splits the mucosa and exposes the sphincter muscle. The most common repair for fissures is a lateral sphincterotomy, 46080 (Sphincterotomy, anal, division of sphincter [separate procedure]).Note, however, that if the surgeon performs 46080 with a related procedure, you may not report the procedure separately. For example, the National Correct Coding Initiative (NCCI) bundles...

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