Wiki Hemorrhoidopexy or not???

lovetocode

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Which code would you select: 46947 or 45541?

Op report states that using the THD/ultrasound device, the 5 branches of the hemorrhoidal vessels were identified. A figure of eight absorbable suture was placed at the pedicle, under ultrasonic guidance, to obilerate the vascular signal at all other sites. With the signal obliterated, the suture was run caudally in 6 sectors, to complete the hemorrhoidopexy.

I understand that code 46947 covers the hemorrhoidopexy, however, I thought that this code should be reported when staples are used. I see no documentation about staples, therefore I would think 45541 better supports the documentation.

Any advice??
 
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