Hemorrhoidectomy with Skin Tag Coding Question

Maxine

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A patient has a hemorroidectomy with fissurectomy. A sentinel tag is also excised at the same time. I believe this should be coded as 46257 for the hemorroidectomy with fissurectomy. Can you also code 46220 for the removal of the skin tag? I don't see that skin tags are a separate procedure. If it cannot be separately coded, please explain why.

Maxine
 
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Please post operative note

For an accurate response to surgical coding questions, please post the scrubbed operative/procedure note.

F Tessa Bartels, CPC, CEMC
 
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