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Wiki Do "circumferential hemorrhoids" involve all 3 columns?

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apmgreer

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I am reading an op note that says the physician excises "circumferential external hemorrhoidal tissue." The physician doesn't specify the number of columns/groups involved. Does "circumferential" mean that all three columns are involved? Or should the coder query?
 
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apmgreer said:
I am reading an op note that says the physician excises "circumferential external hemorrhoidal tissue." The physician doesn't specify the number of columns/groups involved. Does "circumferential" mean that all three columns are involved? Or should the coder query?
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circumferential means "going around the outside edge". So just by that little statement from the provider I am understanding this as 1 hemorrhoidal tissue. He does not specify how many columns so this can be coded as one external hemorrhoid. He just excised all around the one hemorrhoid.
 
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