How To Use CPT Code 46083

CPT 46083 describes the procedure of incision of a thrombosed hemorrhoid, specifically an external one. This article will cover the official description, procedure details, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 46083?

CPT 46083 is used to describe the incision procedure performed by a healthcare provider to remove a blood clot from an external hemorrhoid. This procedure aims to alleviate pain and discomfort caused by the thrombosed hemorrhoid.

2. Official Description

The official description of CPT code 46083 is: ‘Incision of thrombosed hemorrhoid, external.’

3. Procedure

1. During the procedure, the patient is properly prepped and anesthetized.
2. The healthcare provider makes an incision over the visible thrombosed hemorrhoid outside of the anal canal.
3. The provider then drains the blood and removes the clot, relieving the patient of pain and discomfort.

4. Qualifying circumstances

CPT 46083 is performed when a patient presents with an external hemorrhoid that is visibly inflamed and swollen with a blood clot. The procedure is appropriate for patients experiencing pain and discomfort due to the thrombosed hemorrhoid.

5. When to use CPT code 46083

CPT code 46083 should be used when a healthcare provider performs an incision to remove a thrombosed hemorrhoid. It is important to note that this code is specific to external hemorrhoids and should not be used for other types of hemorrhoids or conditions.

6. Documentation requirements

To support a claim for CPT 46083, the healthcare provider must document the following information:

• Patient’s diagnosis of a thrombosed external hemorrhoid
• Details of the procedure, including the incision and removal of the blood clot
• Date and time of the procedure
• Any additional relevant information or complications
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT 46083, ensure that the procedure performed is specifically for the incision of a thrombosed external hemorrhoid. It is important to follow the appropriate coding guidelines and not report this code for other types of hemorrhoids or conditions. Additionally, consider any specific billing requirements from insurance providers or payers.

8. Historical information

CPT 46083 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates or changes to the code since its addition.

9. Examples

1. A patient presents with a visibly inflamed and swollen external hemorrhoid with a blood clot. The healthcare provider performs an incision to remove the clot and alleviate the patient’s pain.
2. During a routine examination, a healthcare provider identifies a thrombosed external hemorrhoid causing significant discomfort for the patient. The provider decides to perform an incision to remove the blood clot and provide relief.
3. A patient seeks medical attention for a painful external hemorrhoid. After confirming the presence of a thrombosed hemorrhoid, the healthcare provider performs an incision to remove the clot and improve the patient’s symptoms.
4. Following a diagnosis of a thrombosed external hemorrhoid, a healthcare provider recommends an incision procedure to remove the blood clot and alleviate the patient’s pain and discomfort.
5. A patient reports severe pain and discomfort due to a thrombosed external hemorrhoid. The healthcare provider performs an incision to remove the clot and provide immediate relief.
6. During a routine check-up, a healthcare provider identifies a thrombosed external hemorrhoid causing significant discomfort for the patient. The provider decides to perform an incision to remove the blood clot and alleviate the patient’s symptoms.
7. A patient presents with a visibly inflamed and swollen external hemorrhoid with a blood clot. The healthcare provider performs an incision to drain the blood and remove the clot, providing relief from pain and discomfort.
8. Following a diagnosis of a thrombosed external hemorrhoid, a healthcare provider recommends an incision procedure to remove the blood clot and improve the patient’s symptoms.
9. A patient seeks medical attention for a painful external hemorrhoid. After confirming the presence of a thrombosed hemorrhoid, the healthcare provider performs an incision to remove the clot and alleviate the patient’s pain.
10. A patient reports severe pain and discomfort due to a thrombosed external hemorrhoid. The healthcare provider performs an incision to remove the clot and provide immediate relief.