tci General Surgery Coding Alert - 2000 Issue 8

Reader Question: Hemorrhoidectomy

Question: The surgeon performed two internal and external hemorrhoidectomies. Which CPT code should be used: 46255 (hemorrhoidectomy, internal and external, simple) or 46260 (hemorrhoidectomy, internal and external, complex or extensive)? Could you please provide detailed descriptions of the codes?Ajay Upadhyay, MDFredericktown, Mo.Answer: The difference between these two codes lies in the words simple and complex or extensive. In Medicodes Coders Desk Reference, the descriptions of 46255 and 46260 are virtually identical. Essentially, both codes involve the surgeon exploring the anal canal and identifying the hemorrhoid column. An incision is made in the rectal mucosa around the hemorrhoids...

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