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Wiki Bundled or unbundled

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Babsss

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I can't seem to find if I can bill these two codes together. Surgeon performed an excision of two external hemorrhoids, one at 3:00 and the other at 9:00 along with an anoscopy to excise a rectal polyp. I was looking at cpt code 46250 and 46615. One is external and the other with scope. I always get confused on the whole column thing. I could not find anything to guide me. Can anyone direct me on the right path?? Please :confused:
Opinions are welcome also.
 
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46250 and 46615 are not bundled per encoder. But I would probably look at how the polyp was removed because 46615 is ablation, if they excised it that's not ablation. Maybe look at 46606, 46610-12.
 
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