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General Surgery Coding Alert

You Be the Coder:
Learn Hemorrhoid 'Combo' Codes

Question: Our surgeon treated a patient by ligating an internal hemorrhoid at left lateral and an external hemorrhoid at right posterior. Can I report both 46221 and 46250?  Texas Subscriber Answer: No, you shouldn’t report both 46221 (Hemorrhoidectomy, internal, by rubber band ligation[s]) and 46250 (Hemorrhoidectomy, external, 2 or more columns/groups) for the scenario you describe. A Correct Coding Initiative (CCI) edit [...]


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