Transanal Hemorrhoidal Dearterialization (February 2020)

February 2020 page 11 Transanal Hemorrhoidal Dearterialization In the 2020 Current Procedural Terminology (CPT®) code set, several changes were made within the Digestive System/Anus/Excision subsection. Two hemorrhoidectomy codes (46945, 46946) were revised and Category III code 0249T was converted to Category I code 46948. In addition, updated parentheticals were added to reflect all related code changes. This article provides an overview of the rationales behind these changes. Anus Excision  46221Hemorrhoidectomy, internal, by rubber band ligation(s) (Do not report 46221 in conjunction with 45350, 45398)  46945Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid column/group, without imaging guidance...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This premium article reviews a set of 2020 CPT changes affecting hemorrhoid-related procedures in the digestive system anus/excision subsection. It is aimed at coders, billers, and clinicians who need to understand the scope of the update, the affected CPT codes, and the general rationale for the code revisions and accompanying guidance.

Why This Topic Matters

Updates of this kind affect code selection, documentation review, and how related procedures are reported together. Readers can use the article to understand what changed in the CPT code set and why the new and revised code language matters for professional coding workflows.

Article Sections

  1. February 2020 page 11

    A brief article introducing the 2020 CPT update topic and the affected digestive system anus/excision area.

  2. Anus / Excision

    The code update discussion for hemorrhoid-related procedures within the anus/excision subsection, including revised and new CPT language and related parenthetical notes.

  3. Coding Tip

    A short coding note highlighting a related imaging service that is addressed in connection with the new code.

  4. Clinical Example (46945) and Description of Procedure (46945)

    A procedural example and narrative description illustrating a typical scenario associated with one hemorrhoid ligation code.

  5. Clinical Example (46946) and Description of Procedure (46946)

    A procedural example and narrative description illustrating a typical scenario associated with a second hemorrhoid ligation code.

  6. Clinical Example (46948) and Description of Procedure (46948)

    A procedural example and narrative description illustrating a typical scenario associated with the new transanal hemorrhoidal dearterialization code.

What You Will Learn

  • What 2020 CPT changes were made in the anus/excision area
  • How the article frames the transition from a Category III code to a Category I code
  • What general types of guidance accompany the updated CPT entries
  • How the article presents related clinical examples and procedural descriptions

Who Should Read This

  • Medical coders
  • Coding educators
  • Revenue cycle staff
  • Clinicians documenting anorectal procedures
  • Compliance teams

Codes Discussed


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