tci Part B Insider - 2007 Issue 26

Part B Coding Coach: 4 Tips Eliminate The Irritation Of Coding Hemorrhoid Removal Procedures

Location matters more than number for all removal methodsIf you-re stuck looking for a code for hemorrhoidectomy and yet another for hemorrhoidopexy--a closely related but distinct procedure--help is here. You can cut through the confusion by following these four tips: Tip 1: Look for Evidence of Thrombosis If the physician treats external hemorrhoids, you must consider whether the hemorrhoids are thrombosed (clotted), says M. Trayser Dunaway, MD, FACS, CSP, CHCO, CHCC, a general surgeon, physician and coding educator, and healthcare consultant in Camden, SC. When treating a thrombosed external hemorrhoid, the physician has three options:1. Wait until the hemorrhoid...

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