2025 CPT code 46250
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Digestive System Surgery Feed
Excision of two or more external hemorrhoid columns or groups.
Modifiers such as 22 (Increased Procedural Services), 51 (Multiple Procedures), 52 (Reduced Services), 53 (Discontinued Procedure), etc., may be applicable depending on the circumstances.
Medical necessity should be established by documenting the severity of symptoms, failure of conservative treatment, and the impact on the patient's quality of life.
The physician is responsible for patient preparation, anesthesia, locating and excising the hemorrhoids, controlling bleeding, irrigation, and wound closure.
In simple words: This procedure removes two or more external hemorrhoids. The area is numbed, and the hemorrhoids are cut out.The doctor then stops any bleeding and may stitch the area closed.
This procedure involves the surgical removal of two or more external hemorrhoids or hemorrhoid groups.The provider prepares the patient, administers anesthesia, and locates the hemorrhoids. An incision is made around each hemorrhoid column, and the hemorrhoids are separated from surrounding tissues and removed. Bleeding is controlled, the area is irrigated, and the incisions are closed with sutures or left open to heal.
Example 1: A patient presents with two large, painful external hemorrhoids that have not responded to conservative treatment.46250 is used for the surgical excision., A patient has three thrombosed external hemorrhoids causing significant discomfort.After discussing options, the physician performs a hemorrhoidectomy using 46250., During an anorectal exam, a physician identifies multiple external hemorrhoids. The patient elects to have them surgically removed, and 46250 is billed.
Documentation should include the number and location of hemorrhoids, the surgical technique used, any complications, and post-operative instructions.
** Ensure accurate documentation of the procedure performed to support the use of this code. Check NCCI edits for code pairing restrictions. Review payer-specific guidelines for coverage and reimbursement.
- Revenue Code: P5E
- RVU: Non-Facility: 14.41 (Work RVU: 4.25), Facility: 9.58 (Work RVU: 4.25)
- Global Days: 90
- Payment Status: Active
- Modifier TC rule: No specific TC modifier rule is associated with this code, but standard modifier rules apply.
- Fee Schedule: Information is available through resources like the CMS Physician Fee Schedule look-up tool.
- Specialties:General Surgery, Proctology, Colon and Rectal Surgery
- Place of Service:Ambulatory Surgical Center, Hospital Outpatient, Physician's Office