tci General Surgery Coding Alert - 2018 Issue 3

Reader Question: Get Hemorrhoid Coding Right

Question: The surgeon performed a flexible sigmoidoscopy for a patient who presented with rectal bleeding. The surgeon diagnosed internal hemorrhoids and performed band ligation. How should we code this? SuperCoder Subscriber Answer: The correct code for the procedure is 45350 (Sigmoidoscopy, flexible; with band ligation(s) (eg, hemorrhoids)). A sigmoidoscopy refers to a procedure in which the surgeon accesses the rectum and lower one third of the colon with a flexible sigmoidoscope, which is a tubular instrument with a light source and camera. If the surgeon had found nothing that required a therapeutic intervention, you would instead report 45330 (Sigmoidoscopy...

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