Hemorroidectomy question

[hencked]

My physician excised 3 columns of internal hemorroids. The only code choice is for internal and external, 46260. Because only internals are mentioned should I be putting a 52 modifier on the code? I really don't want the fee to be reduced if not necessary. Or....would it be ok to just bill 46260 with no modifier. There just is no code for internal excision only. Any help would be appreciated.

Thanks,

Debbie

[cmartin]

You don't need the -52. The ICD will tell them there were only internal.