tci General Surgery Coding Alert - 2021 Issue Q2

You Be the Coder: Classify Anus Tag or Hemorrhoid

Question: The patient presented for a colonoscopy and also mentioned a troublesome external hemorrhoid. The surgeon performed the colonoscopy and external hemorrhoidectomy of an external hemorrhoid tag. Because there’s an NCCI edit for 45378 and 46220, does that mean I can bill only the colonoscopy? Maryland Subscriber Answer: The language in the question may be the source of the coding confusion. You call the procedure an external hemorrhoidectomy, but you call the specimen a “hemorrhoid tag.” Problem: A tag is a skin growth, which is different from a hemorrhoid, which is a swollen vein. The problem...

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