Gastroenterology Coding Alert

ICD-10:

Hemorrhoid Code Spreads Out in 2013

Beef up your documentation with details such as depth and type.Anoscopy (46600) is a method to view the anus, anal canal, and lower rectum. When the GI orders an anoscopy for a patient, one reason may be to determine whether the patient has hemorrhoids (455). Hemorrhoid refers to an enlarged or swollen blood vessel, usually located near the anus or the rectum.ICD-10 difference: When ICD-9-CM changes to ICD-10-CM in Oct. 1, 2013, code 455 will become I84.x (Hemorrhoids). This new code will further expand into the following subcategories:I84.0-, Thrombosed hemorrhoidsI84.11-, Internal hemorrhoids with other complicationsI84.12-, External hemorrhoids with other complicationsI84.13-, Internal and external hemorrhoids with other complicationsI84.2-, Hemorrhoids without complicationI84.6, Residual hemorrhoidal skin tags.Documentation: The treatment/procedure codes for hemorrhoids (e.g., 46221, Hemorrhoidectomy, internal, by rubber band ligation[s]; or 46083, Incision of thrombosed hemorrhoid, external) include terminology such as incision, excision, cauterization, ligation, reduction, and column/group. This means you must understand [...]
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