AMA CPT® Assistant - 2015 Issue 4 (April)

Surgery: Digestive System (Q&A) (April 2015)

April 2015 page 10a Surgery: Digestive System Question: What is the appropriate code to report destruction of an internal hemorrhoid by thermal energy application? The physician calls the procedure a bipolar radiofrequency hemorrhoidectomy and wants to report either code 46945, Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid column/group, or code 46999, Unlisted procedure, anus. Answer: The correct code to report would be 46930, Destruction of internal hemorrhoid(s) by thermal energy (eg, infrared coagulation, cautery, radiofrequency). Code 46930 may be reported for different thermal energy devices. It would not be appropriate to report code 46945 because the...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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