tci General Surgery Coding Alert - 2016 Issue 4

Reader Question: Find Method Code for Internal Hemorrhoidectomy

Question: Our surgeons recently started treating some internal hemorrhoids with “radio wave ablation.” Previously, most hemorrhoidectomies in our practice were by ligation or suture, but I don’t think we can use those codes for the new process. Should we report an unlisted code such as 46999 for this radio wave ablation hemorrhoidectomy procedure? Alabama Subscriber Answer: No, you shouldn’t use the unlisted anus code (46999, Unlisted procedure, anus), because CPT® provides a specific code for the procedure you’re describing. That code is 46930 (Destruction of internal hemorrhoid[s] by thermal energy [e.g., infrared coagulation...

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