tci Part B Insider - 2009 Issue 17

Part B Coding Coach : Use New Hemorrhoid Destruction Code Correctly Or Miss Out on $190

Dont forget the 90-day global period on 46930. If your physician destroys internal hemorrhoids with heat, youve needed to use a new-for-2009 code: 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: 46930 has a 90-day global period. So if your gastroenterologist performs thermal hemorrhoid destruction in stages, youll have to append a modifier or risk losing as much as $189.71. American Society for Gastrointestinal Endoscopy adviser Glenn D. Littenberg, MD, American Gastroenterology Association adviser Joel...

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