Anal Seton

coderguy1939

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The patient had surgery for an anal fistula with a placement of a seton and back several weeks later to have the seton changed. 46030 is removal of a seton and 46020 is placement of a seton. CCI doesn't bundle these codes, but coding both seems overcoding. Any help out there would be appreciated.
 

amitjoshi4

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The best way is to go with 46020. Removal Codes are never coded along with Placement codes. The final procedure was Placement only. It is logically justified also.

Thank You
 
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