Hemorrhoidectomy

[aprillerowland]

My surgeon has a Exam under Anesthesia(45990) and Internal/External Hemorrhoidectomy(46260) listed on the op report. My question is, wouldn't the EUA be part of the procedure and not billable as separate?
Any input would be appreciated.

 

[danskangel313]

My surgeon has a Exam under Anesthesia(45990) and Internal/External Hemorrhoidectomy(46260) listed on the op report. My question is, wouldn't the EUA be part of the procedure and not billable as separate?
Any input would be appreciated.

It depends. If, during a diagnostic anorectal exam, the provider finds hemorrhoids and then subsequently performs a hemorrhoidectomy, you could bill for both with a mod on 45990. (As long as the documentation supports it)