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Thread: hemorrhoidectomy - can anyone tell me

  1. #1

    Default hemorrhoidectomy - can anyone tell me

    AAPC: Back to School
    can anyone tell me how they code internal hemorrhoidectomy only? i was thinking 46934. any ideas?

  2. #2
    Join Date
    Apr 2007


    Probably need a little more info here. Did he destruct or did he excise? How did he accomplish this procedure? Can you post the desensitized op note?

  3. #3


    ..."2 prolapsing internal hemorrhoids were see, one in the right psoterior quadrant and the other in the left lateral quadrant. Both of these were excised with Milligan-Morgan open hemorrhoidectomy. Pedicle was clamped with a Crile clamp and tied off with a #3-0 Vicryl tie. The internal sphincter was spared in both cases."..... Code for internal only?

  4. #4
    Join Date
    Apr 2007


    yes I would agree with internal only, but I would use 46221 since he clamped and tied off (ligation) rather than the code you chose for destruction.

    Hope this helps

  5. #5


    It does. Thanks!

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