In simple words: This surgery removes two or more internal and/or external hemorrhoids. The doctor makes an incision, removes the hemorrhoids, stops any bleeding, cleans the area, and may stitch it closed or allow it to heal naturally.

This procedure involves the excision of two or more internal and/or external hemorrhoid columns or groups.The surgeon accesses the hemorrhoids by retracting the anal canal, incises the mucosa around the hemorrhoid columns, dissects them from surrounding tissues, and removes them. Bleeding is controlled, the area is irrigated, and the incisions may be closed with sutures or left open to heal naturally.

Example 1: A patient presents with two large external hemorrhoids and one large internal hemorrhoid causing significant pain and bleeding.The surgeon performs a hemorrhoidectomy (46260) to remove all three hemorrhoids., A patient with multiple symptomatic internal and external hemorrhoid groups undergoes a hemorrhoidectomy (46260). The procedure involves multiple incisions, dissection, and removal of the affected tissues. The surgical site is closed primarily., A patient with a history of chronic constipation and multiple thrombosed hemorrhoids undergoes a hemorrhoidectomy (46260). The procedure involves the surgical excision of several internal and external hemorrhoids.The wound is left open to heal by secondary intention.

A complete medical history, physical examination documenting the size and location of the hemorrhoids, intraoperative findings, operative report detailing the technique used, number of hemorrhoids excised,and postoperative care instructions should be well documented.

** The complexity of the hemorrhoidectomy (simple vs. complex/extensive) is a significant factor in determining appropriate coding.Accurate documentation is crucial for proper reimbursement. Consider consulting with a coding expert for complex cases.