tci Part B Insider - 2004 Issue 44

New Codes: Hemorrhoidectomy vs. Hemorrhoidopexy

Medicare introduces new code for innovative hemorrhoid treatmentIf your patients have complained of pain and discomfort following traditional hemmorhoid prolapse treatments, then help is at hand.A new (CPT 46947 ) covers hemorrhoidopexy by stapling for prolapsing internal hemorrhoids. Many providers refer to this treatment as the Procedure for Prolapse and Hemorrhoids (PPH). In the traditional hemorrhoidectomy, the surgeon performs an excision and suture ligation, or rubber band ligation. In PPH, the surgeon performs a progressive anal dilation and inserts a circular anoscope into the anus, then uses a stapling technique to repair the prolapse. The new code, 46947...

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