tci General Surgery Coding Alert - 2014 Issue 6

You Be the Coder: Learn Hemorrhoid 'Combo' Codes

Question: Our surgeon treated a patient by ligating an internal hemorrhoid at left lateral and an external hemorrhoid at right posterior. Can I report both 46221 and 46250?  Texas Subscriber Answer: No, you shouldn’t report both 46221 (Hemorrhoidectomy, internal, by rubber band ligation[s]) and 46250 (Hemorrhoidectomy, external, 2 or more columns/groups) for the scenario you describe. A Correct Coding Initiative (CCI) edit lists 46221 as a column 2 code for 43250 with a modifier indicator of “0,” which means that you cannot override the edit pair and report the codes together under any circumstances.  ...

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