AAPC - Back to school
Page 1 of 2 12 LastLast
Results 1 to 10 of 11

Thread: Transanal hemorrhoidal dearterialization

  1. #1

    Default Transanal hemorrhoidal dearterialization

    AAPC: Back to School
    Does this procedure (Transanal hemorrhoidal dearterialization) have a CPT code or would I use an unlisted code? 46999?

  2. #2
    Join Date
    Apr 2007
    Charlotte, NC


    Could you use Hemorrhoid ligation 46945-46946 or hemorrhoidectomy ligation 46221? I looked and looked and couldn't find an actual code for THD or even HAL (Hemorroid artery ligation).
    Last edited by coachlang3; 03-30-2010 at 09:32 AM. Reason: can't spell

  3. #3
    Join Date
    Apr 2007
    Northeast Kansas AAPC


    I was told to use 46946 and then depending on the dictation use in addition 45505. Sorry I can't remember where this info came from.

  4. #4


    Thank you for your input. I called the surgeon's office, and they also used 46946.

  5. #5


    I just had this exact case last week, we did not use the Hemorrhoidectomy code since the actual hemorrhoid was not removed, only ligation of the vessel. We used an unlisted code. 45999

  6. #6


    Since the procedure was done with a transanal approach, if you were going to use an unlisted code, why not 46999? Also, what about 37799 for unlisted vascular procedures?

  7. #7


    CPT 46945 (single hemorrhoid) or 46946 (2 or more), ligation other than rubber band, is appropriate, plus you should be able to use 76998 for the ultrasound if your MD uses it to locate the artery.

    Do not use 45505 in conjunction. I know they suture up the extra tissue at the time of the procedure, but this really should be bundled since it is part of the procedure almost every time. 45505 is really designed for bigger prolapse repairs, just check out the RVU. If you want to see how the procedure is performed check out this video at: http://www.atlantacolon.com/archives/511

    The video shows the actual procedure towards the end. The work and risk are less than a complex hemorrhoid.

  8. #8

    Default Code

    Code 0249T

  9. #9
    Join Date
    Apr 2007


    Code 0249T is correct. This is a category III code so has no reimbursement and you'll have to submit documentation requesting what you think is fair reimbursement. You have to use this code though so the number of these procedures can be tracked and we can get it converted to a category I code.

  10. #10


    Thanks for the recent input. We are an anesthesia group, so I don't think I would bill a Cat III code, but it's always good to have the information.

Page 1 of 2 12 LastLast

Similar Threads

  1. transanal approach
    By KSTONE in forum General Surgery
    Replies: 0
    Last Post: 04-10-2014, 12:49 PM
  2. transanal hemorrhoidal dearterilzation getting paid?
    By lindacoder in forum General Surgery
    Replies: 2
    Last Post: 07-29-2013, 01:22 PM
  3. Transrectal hemorrhoidal dearterialization HELP
    By lindacoder in forum General Surgery
    Replies: 0
    Last Post: 01-06-2010, 03:10 PM
  4. Transanal hemorrhoidal dearterialization THD
    By tincyr in forum Gastroenterology
    Replies: 1
    Last Post: 07-21-2009, 07:09 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.