Has anyone had any luck getting Medicare to pay for destruction of internal hemorrhoids by thermal Energ (IRC) with the useage of the internal hemorrhoids codes 455.0,455.1, 455.2, 455.6,455.8? If so what's the trick.

Tid bit: We have found that currently if the patient has rectal bleeding as a symptom of the hemorrhoids the and the IRC 46930 is reported with rectal bleed 569.3 that Medicare will pay. Unfortunately not all patients have active bleeding associated.