AAPC - Back to school
Results 1 to 6 of 6

Thread: procedure code 46221

  1. #1

    Default procedure code 46221

    AAPC: Back to School
    Can you bill for more than one 46221 on the same day?

  2. #2
    Join Date
    Apr 2007
    Jacksonville, Florida - 90417

    Default Ouch!

    Technically, yes you could bill 46221 more than once on the same day if done during different sessions/encounters. But why subject the poor patient to that?

    Maryann Palmeter, CPC: eek:

  3. #3
    Join Date
    Apr 2007
    St. Cloud, MN


    Even though the CPT description states "Hemorrhoidectomy" which implies just one - the CPT Assistant has this to say regarding 46221:

    CPT Assistant October 1997 Volume 7 Issue 10
    "Code 46221, should be reported only once regardless of how many hemorrhoids are ligated. Timing is a major advantage in rubber ring ligation. The patient does not have to return at fixed intervals for further ligation. The patient can choose to return at a later date to address other areas. Each session of rubber band ligation, regardless of the number of hemorrhoids, is coded once."

    “Be always at war with your vices, at peace with your neighbors, and let each new year find you a better man."
    --Benjamin Franklin,
    politician, inventor and author

  4. #4

    Default flex sig w/ hemorrhoidectomy 46221

    can I bill the flex sig w/ 46221 or is that considered the approch to do the banding?

  5. #5


    there aren't any bundeling issues for 45330 and 46221

  6. #6


    CPT 45330 can be billed if it is used for diagnostic reasons not to assit in performing 46221. In that case it would be included in 46221.

Similar Threads

  1. denial ER claim billing an EM code and procedure code
    By kmg745511 in forum Emergency Department
    Replies: 2
    Last Post: 11-09-2014, 08:55 AM
  2. 46221
    By VanessaLau in forum Gastroenterology
    Replies: 1
    Last Post: 07-25-2013, 05:39 AM
  3. 46221 + 46940
    By nyyankees in forum Gastroenterology
    Replies: 2
    Last Post: 08-29-2011, 10:17 AM
  4. Unlisted code vs Open Procedure Code
    By christinnagle in forum Orthopaedics
    Replies: 1
    Last Post: 03-30-2011, 12:06 PM
  5. Need a procedure code
    By hudsondna in forum ENT/Otolaryngology
    Replies: 4
    Last Post: 08-27-2009, 10:43 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.