Results 1 to 5 of 5

internal hemorrhoidectomy x 2

  1. #1
    Default internal hemorrhoidectomy x 2
    Medical Coding Books
    This man had two internal hemorrhoids excised. What CPT code do I use?
    Do you have to have internal and external to use 46255. And what constitutes in this section, complex? This man has tried banding which didn't work so he continued to have pain/bloody stools etc. Does that constitute complex or is it how deep they go?

    Not sure why they don't have a code for just internal like they do for external.

  2. Default
    Have you seen CPT 46221 which can also be coded for excision of internal hemorrhoids.

    You can find some coding tips from the below link.
    Dr.Raja CPC
    Coding Auditor

  3. #3
    46221 is removal by simple ligature. He was in the OR for excision because the 46221 didn't work. I will look at the website you sent me. Thanks

  4. #4
    Quincy, MA
    Quote Originally Posted by drpremraja View Post
    Have you seen CPT 46221 which can also be coded for excision of internal hemorrhoids.

    You can find some coding tips from the below link.
    That's a very informative website, I code for all that stuff and this site helps!
    Leanne, CPC
    General/Vascular Surgery

  5. #5
    Jacksonville, FL
    Default CPT 46934 (deleted code)
    In the 2008 Professional Edition CPT book, code 46934 stated : "Destruction of hemorrhoids; any method; internal".

    Here's the question:
    The physician removed 3 hemorrhoids using microcurrent electrolysis (Not IRC). Does he get the code 1x or all 3x? I cannot find anything definitive, only bits and pieces from different sites offering their opinions. I read the Coding Institute document that was attached from an earlier question, but that is just someone's opinion. Anything have anything in hard evidence from the AMA regarding how many times on one Service Date this code can be billed?
    I say Doc only gets it once, but Doc says he gets it all 3x. Who's correct?

Similar Threads

  1. internal hemorrhoidectomy
    By in forum General Surgery
    Replies: 1
    Last Post: 08-06-2014, 06:36 AM
  2. external and internal hemorrhoidectomy
    By SurgicalAssociates in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 01-14-2014, 06:39 AM
  3. Internal hemorrhoidectomy only by excision
    By wcarmignani in forum General Surgery
    Replies: 1
    Last Post: 06-23-2011, 02:20 PM
  4. Internal & External Hemorrhoidectomy 46255
    By SUEV in forum Gastroenterology
    Replies: 3
    Last Post: 09-02-2009, 04:51 AM
  5. CPT for Internal Hemorrhoidectomy ?
    By Jody Mortensen in forum Gastroenterology
    Replies: 1
    Last Post: 06-03-2009, 05:37 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.