tci Medicare Compliance & Reimbursement - 2009 Issue 11

CODING COACH :Use New Hemorrhoid Destruction Code Correctly or Miss Out on $190

Don't forget the 90-day global period on 46930. If your physician destroys internal hemorrhoids with heat, you changed your coding this year to rely on a code introduced in 2009: 46930 (Destruction of internal hemorrhoid[ s] by thermal energy [e.g., infrared coagulation, cautery, radiofrequency]). What may have been a surprise is that the new code treats the procedure as major surgery.Here's how to know: 46930 has a 90-day global period. So if your gastroenterologist performs thermal hemorrhoid destruction in stages, you'll have to append a modifier or risk losing as much as $189.71. American Society for...

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