hemorrhoidectomy - can anyone tell me

toizd

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can anyone tell me how they code internal hemorrhoidectomy only? i was thinking 46934. any ideas?
 

mbort

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Probably need a little more info here. Did he destruct or did he excise? How did he accomplish this procedure? Can you post the desensitized op note?
 

toizd

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..."2 prolapsing internal hemorrhoids were see, one in the right psoterior quadrant and the other in the left lateral quadrant. Both of these were excised with Milligan-Morgan open hemorrhoidectomy. Pedicle was clamped with a Crile clamp and tied off with a #3-0 Vicryl tie. The internal sphincter was spared in both cases."..... Code for internal only?
 

mbort

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yes I would agree with internal only, but I would use 46221 since he clamped and tied off (ligation) rather than the code you chose for destruction.

Hope this helps :)
 
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