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Silver Nitrate used on small oozing hemorrhoid

Debra Posted Tue 02nd of December, 2014 13:13:07 PM

Patient had viscous lidocaine applied and then silver nitrate stick used to cauterize the small pinpoint area of the external hemorrhoid where it was bleeding.

Is there a CPT for this procedure or would it be included in the Facility E&M?

SuperCoder Answered Tue 02nd of December, 2014 13:31:34 PM

Thanks for your question. See procedure code 17250; Chemical cauterization of granulation tissue (proud flesh, sinus or fistula). The provider cauterizes granulation tissue using chemicals like silver nitrate or potassium hydroxide to heal the injured tissue. During the procedure, the provider applies a small amount of silver nitrate, potassium hydroxide, or another chemical over the granulation tissue to hinder the blood supply to that area. This shifts the tissue to the next phase of healing. This code would be the best fit for this scenario.

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