AMA CPT® Assistant - 2015 Issue 3 (March)

Category III Codes (Q&A) (March 2015)

March 2015 page 10c Category III Codes Question: 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 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. Would it be appropriate to assign a code for both the hemorrhoidal ligation (0249T) and the proctoplasty (45505)? Answer:...

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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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