tci General Surgery Coding Alert - 2002 Issue 12

Reader Questions: Hemorrhoid Removal With Fissure

Question: During hemorrhoid removal, the surgeon also treated an anal fissure. How should I report this? Nevada SubscriberAnswer: The answer depends on exactly what the surgeon did in the operating room. But in all cases, a single code should suffice to report both hemorrhoid removal and fissure treatment. A fissure which is usually associated with internal or external hemorrhoids is a chronic crack in the anoderm that splits the mucosa and exposes the sphincter muscle. The most common repair method for such fissures is lateral internal sphincterotomy, 46080* (Sphincterotomy, anal, division of sphincter [separate procedure]). If the surgeon performs...

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