How To Use CPT Code 46250

CPT 46250 describes the excision of two or more external hemorrhoids or hemorrhoid groups. This article will cover the official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 46250?

CPT 46250 is used to describe the surgical procedure of removing two or more external hemorrhoids or hemorrhoid groups. It involves the excision of these hemorrhoids to alleviate symptoms and improve the patient’s condition.

2. Official Description

The official description of CPT code 46250 is: ‘Hemorrhoidectomy, external, 2 or more columns/groups. Note: For hemorrhoidectomy, external, single column/group, use 46999.’

3. Procedure

1. During the procedure, the healthcare provider prepares the patient and administers anesthesia.
2. The provider then locates the hemorrhoids by retracting the anal canal.
3. Next, the provider makes an incision around the hemorrhoid column and separates the hemorrhoids from the surrounding tissues.
4. The hemorrhoids are then removed through the anal canal.
5. The provider controls any bleeding from the excision site and irrigates the area with antibiotics.
6. Finally, the provider closes the incision with sutures or may leave the operative site open for self-healing of the wound.

4. Qualifying circumstances

CPT 46250 is performed on patients with external hemorrhoids that require excision. These hemorrhoids are visible outside the anal canal and cause discomfort or other symptoms. The procedure is typically performed by a healthcare provider who is experienced in performing hemorrhoidectomies.

5. When to use CPT code 46250

CPT code 46250 should be used when a healthcare provider performs the excision of two or more external hemorrhoids or hemorrhoid groups. It is important to accurately document the number of hemorrhoids or groups excised to ensure proper coding and billing.

6. Documentation requirements

To support a claim for CPT 46250, the healthcare provider must document the following information:

• Number of external hemorrhoids or hemorrhoid groups excised
• Date of the procedure
• Details of the procedure, including any complications or additional steps taken
• Anesthesia used
• Post-operative care instructions
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT 46250, ensure that the procedure involves the excision of two or more external hemorrhoids or hemorrhoid groups. It is important to accurately document the number of hemorrhoids or groups excised to support the claim. Additionally, be aware of any specific guidelines or requirements from insurance providers or payers.

8. Historical information

CPT 46250 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 healthcare provider performs the excision of two external hemorrhoids for a patient experiencing severe discomfort.
2. During a surgical procedure, a provider removes three external hemorrhoids for a patient with recurring symptoms.
3. A patient undergoes the excision of four hemorrhoid groups to alleviate chronic pain and bleeding.
4. A healthcare provider performs the excision of two external hemorrhoids and one internal hemorrhoid for a patient with a complex case.
5. During a surgical procedure, a provider removes five external hemorrhoids for a patient with a history of hemorrhoid issues.
6. A patient undergoes the excision of two hemorrhoid groups to address persistent symptoms and improve quality of life.
7. A healthcare provider performs the excision of three external hemorrhoids for a patient experiencing significant discomfort and bleeding.
8. During a surgical procedure, a provider removes four external hemorrhoids for a patient with a long-standing history of hemorrhoid problems.
9. A patient undergoes the excision of two hemorrhoid groups to alleviate chronic pain and improve overall well-being.
10. A healthcare provider performs the excision of three external hemorrhoids for a patient with recurrent symptoms and discomfort.