CPT^® 46947, Under Repair Procedures on the Anus

The Current Procedural Terminology (CPT^®) code 46947 as maintained by American Medical Association, is a medical procedural code under the range - Repair Procedures on the Anus.

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Summary

In this procedure, the provider surgically removes an abnormally enlarged hemorrhoidal tissue, then repositions the remaining hemorrhoidal tissue back to its normal position and staples the tissue in place.

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Complex internal external bleeding hemorrhoids

Hello, I have a hemorrhoid surgery that the internal hemorrhoids were stapled ( hemorrhoidopexy by stapling) CPT code 46947 I could not find a code for just the external hemorrhoid excision by itse... [ Read More ]

Hemorrhoidopexy without staples

When a hemorrhoidopexy is performed with staples, you use 46947. What do you use if the provider did not use staples? OPERATION: 1. Hemorrhoidectomy, one column. 2. Tag excision x2. 3. Left l... [ Read More ]

THD coding

We are having issues with our coding company in regards to THD hemorrhoidectomy and hemorrhoidopexy with ultrasound guidance coding. Per our coders the correct CPT should be “0490T”, but all of ou... [ Read More ]

Anopexy, Stapling and and fibro epithelial polyp excision CPT codes

Dear All, First of all sorry to post this question under wrong group. I did't get a reply from Gastroenterology group. I have doubt in choosing CPT codes for the below procedure.My doctor coded 46230... [ Read More ]

Anopexy, Stapling and and fibro epithelial polyp excision CPT codes

Dear All, I have doubt in choosing CPT codes for the below procedure.My doctor coded 46230, 46080 and 46947. As per CCI edits we can not charge 46080 since it is Separate Procedure. But my doubt what... [ Read More ]

Medicare Misadventure Case Billing

Pt. was undergoing hemorrhoidectomy using PPH stapler, when the stapler malfunctioned and her rectum was accidently stapled shut. Apparently a resection/repair was not a possibility in this case, and ... [ Read More ]

46947 with 46255 or 46945

Looking at this operative report I tend to want to code 46947 with 46255. Can I do that ? Booking was 46945 ,which I disagree,any suggestions- thanks POSTOPERATIVE DIAGNOSES: Prolapsed hemorrhoids a... [ Read More ]

need help with hemorrhoid codes

Procedures: Excision of external hemorrhoid Stapled hemorrhoidectomy Post op Diag: Complex internal and external hemorrhoids. I used 46947 for the Stapling of internal hemorrhoid ... [ Read More ]

Help with stapled and excisonal hemorrhoidectomy

I am new to coding for a ASC i need help with this OP report................ Diagnosis: Prlapsing internal and External Hemmrhoids patient was set in prone position with buttocks stretched foreward.... [ Read More ]

Help w/billing 'internal' hemorrhoid repair/destruction

I am reviewing the utilization of CPT PC's 46930, 46945, 46946 and 46947, all which have a 90 day global. However, I see many providers appending modifiers -58 and -78. Initially, it appears that the ... [ Read More ]

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