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General Surgery Coding Alert

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Published on Wed Aug 12, 2015

Question: The op note indicates that during a flexible sigmoidoscopy procedure, the surgeon discovered and treated internal hemorrhoids using rubber band ligation. Should we code 45330 and 46221? Arkansas Subscriber Answer: You should not code 45330 (Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed [separate procedure]) and 46221 (Hemorrhoidectomy, internal, by rubber band ligation[s]) for this case. [...]
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