AR2728
Expert
General surgeon performed components of hemorrhoidectomy, internal by rubber band ligation, procedure documented just as he would for internal hemorrhoids. However, his diagnosis is rectal mucosal prolapse not hemorrhoids. Would it be appropriate to bill 46221 with K62.3 diagnosis or more appropriate to bill unlisted code 46999.
We have already filed one claim with 46999 and biller is stating she is having issues getting service covered. I understand the procedure clearly states hemorrhoidectomy, however, the true procedure documentation completely mirrors the process for 46221 with the exception of this being diagnosed as prolapse and not hemorrhoid. Would appreciate the thoughts of others on using this vs unlisted.
We have already filed one claim with 46999 and biller is stating she is having issues getting service covered. I understand the procedure clearly states hemorrhoidectomy, however, the true procedure documentation completely mirrors the process for 46221 with the exception of this being diagnosed as prolapse and not hemorrhoid. Would appreciate the thoughts of others on using this vs unlisted.