Results 1 to 4 of 4

Hemorrhoidectomy and anoplasty Help!!!!!

  1. Default Hemorrhoidectomy and anoplasty Help!!!!!
    Medical Coding Books
    I am coding this OP report I am new to ASC coding.... Need help with which procedure to code

    Procedure: excisional anal fissure or ulcer, hemorrhoidectomy, sphincterotomy, and anoplasty

    The patient was placed in prone jackknife position.......rectum was gently dialated. Patient was noted to have posterior chronic anal fissure with associated scarring and and distal tags. There were left and right posteriorlateral associated hemrhoids as well. There were internal and external and finally a smaller right group. The posterior anal ulcer and associated tags were excised with a elliptical incision and the skin was pulled up. The incision was then closed transversly. The left and right posterolateral genitalia and later the right anterior hemorrhoid all removed in similar fashion with elliptical incision and in each case once saw the hemmrroid were carefully excised from the sphincter muscle. The partial thickness distal internal sphincterotomy was performed with a cutting cautery.

    I coded 46260 the interal and external hemmrrhoidectomy 2 or more columns... the sphincterotomy and the anoplasty and excisional anal fissure were all global.... Did I code the wrong one?? I'm confused on which one I should code when everything is global.

  2. #2
    I would use 46261 which is hemorrhoidectomy with fissurectomy which is what he describes.

    46700 is anoplasty for stricture. Is that what he did it for?

    That's how I would code it.

  3. Default
    yes the anoplasty was for the stricture thank you for your help!

  4. #4
    No problem!

Similar Threads

  1. Anoplasty codes 46700 and 46705
    By limorris in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 08-29-2017, 11:16 AM
  2. Please help-anoplasty/stricturoplasty
    By LaceyCanon in forum General Surgery
    Replies: 0
    Last Post: 04-09-2015, 01:12 PM
  3. Hemorrhoidectomy
    By nabernhardt in forum General Surgery
    Replies: 2
    Last Post: 07-23-2012, 04:59 PM
  4. Hemorrhoidectomy
    By LTibbetts in forum Gastroenterology
    Replies: 0
    Last Post: 08-31-2009, 10:33 AM
  5. hemorrhoidectomy - can anyone tell me
    By toizd in forum Gastroenterology
    Replies: 4
    Last Post: 05-20-2008, 09:58 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.