tci Outpatient Facility Coding Alert - 2013 Issue 10

Reader Question: Learn Your Terms for Successful Hemorrhoidectomy Coding

Question: We have an op note for a hemorrhoidectomy that states that the surgeon “cut and ligated superior hemorrhoid” and also “sutured two other inferior hemorrhoid complexes.” How should we code this service? Iowa Subscriber Answer: With the information given, it appears that the correct code is 46260 (Hemorrhoidectomy, internal and external, 2 or more columns/groups). Selecting the proper hemorrhoidectomy code requires an understanding of both the anatomy and procedures involved. Also, providing training so that surgeons use CPT® compatible terminology in the op reports would be helpful. Superior/Inferior: These terms, which your surgeon used, roughly...

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