A patient is admitted to the operating room for a proctoplasty and hemorrhoidal artery ligation with ultrasound guidance. According to the operative report, an anoscope was utilized and the artery was ligated with a defect left to allow the performance of the proctoplasty. A proctoscopy was performed by using the previously thrown suture and throwing it to the level of the dentate line and then tying this back to the previously placed suture. This eradicated the hemorrhoidal prolapse.
Would it be appropriate, in this case, to assign a code for both the hemorrhoidal ligation and the proctoplasty, or would only the hemorrhoidal ligation be reported?
Report CPT code 0249T, Ligation, hemorrhoidal vascular bundle(s), including ultrasound guidance, for the procedures performed. The proctoplasty would be considered inherent to the hemorrhoidal repair and not separately reported.