-
If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
Wiki Ligasure Hemorrhoidectomy
- Thread starter R1CPC
- Start date
jwiles66
Networker
It depends..does the dr mention rubber band? Otherwise, we would normally use 46945 for ligation.
The report says the following Kelly was placed in the external hemorrhoid. 15 blade was used to come through the external hemorrhoid and the Mezenbaum were used to separate the sphincter mechanism from the internal hemorrhoidal plexus and a LigaSure was used to remove the hemorrhoidal plexus. After this was done, 2-0 Vicryl was tied at the right anterior hemorrhiodal base and then the mucosa was reapproximated in a running locked fashion. The same was done for the right posterior and left lateral hemorrhoidal plexus. So would we bill
46245- for the internal hemorrhoid
46999- for the external hemorrhoid since there is only one column/group or
46255 since NCCI says If multiple services are utilized to treat hemorrhoids at
the same patient encounter, only one HCPCS/CPT
code describing the most extensive procedure may be
reported.
46245- for the internal hemorrhoid
46999- for the external hemorrhoid since there is only one column/group or
46255 since NCCI says If multiple services are utilized to treat hemorrhoids at
the same patient encounter, only one HCPCS/CPT
code describing the most extensive procedure may be
reported.