amwittler
Contributor
I have been unable to find a clear answer regarding charging for an anoscopy (46600) at the same time as an office visit. The current example I have is a new patient coming into the office to discuss hemorrhoids.
This is the documentation I have within the note for the anoscopy.
Anoscopy: Mildly prominent internal hemorrhoid complexes, most prominent in the right anterior location. No bleeding or stigmata of recent bleeding. No protruding tissue as the scope was withdrawn. No other mass lesions. No fissures, fistulas or drainage.
The provider does a complete note focusing on the hemorrhoids and then the assessment/plan discusses the treatment plan for the internal hemorrhoids. Is it appropriate to bill an E/M with the 46600?
This is the documentation I have within the note for the anoscopy.
Anoscopy: Mildly prominent internal hemorrhoid complexes, most prominent in the right anterior location. No bleeding or stigmata of recent bleeding. No protruding tissue as the scope was withdrawn. No other mass lesions. No fissures, fistulas or drainage.
The provider does a complete note focusing on the hemorrhoids and then the assessment/plan discusses the treatment plan for the internal hemorrhoids. Is it appropriate to bill an E/M with the 46600?