Wiki Hemorrhoid excision, plus

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Babsss

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I can't seem to find if I can bill these two codes together. Surgeon performed an excision of two external hemorrhoids, one at 3:00 and the other at 9:00 along with an anoscopy to excise a rectal polyp. I was looking at cpt code 46250 and 46615. One is external and the other with scope. I always get confused on the whole column thing. I could not find anything to guide me. Can anyone direct me on the right path?? Please
Opinions are welcome also.
 
I agree with 46250 for the hemorrhoidectomy. 46615 may be correct if they fulgrated or "destroyed" the polyp, otherwise if it was just excised it is more likley to be 46610-46612.
 
Thanks for the help. Some times he is just not clear and I feel like I am fishing for the answer.
 
From what you have given I would bill the following:

46250: excision of two external hemorrhoids, one at 3:00 and the other at 9:00

46611: anoscopy to excise a rectal polyp (as you don't list the method used to extricate the polyp, you are instructed to use the snare technique).
c.p. assistant Spring 94:10 Oct 97:6

Hope that helps
 
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