tci General Surgery Coding Alert - 2007 Issue 12

You Be the Coder: How Do You Capture a STARR?

Question: Our surgeon has recently begun to perform the STARR procedure, and I am unsure of how to code for this. The surgeon suggested 45123. I have reservations about that code because it is a perineal approach and the STARR procedure is through the anus.-Any suggestions? Utah SubscriberAnswer: The STARR (stapled transanal rectal resection) procedure is a recently developed technique to treat obstructed defecation syndrome (ODS). Using circular, surgical staplers similar to those used during hemorrhoidopexy (46947, Hemorrhoidopexy [e.g., for prolapsing internal hemorrhoids] by stapling), the surgeon simultaneously removes excess tissue from and resects the lower rectum...

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