2025 CPT code 46083
(Active) Effective Date: N/A Surgery - Surgical Procedures on the Digestive System Surgery Feed
Incision of thrombosed external hemorrhoid.
Modifiers may be applicable. Refer to payer guidelines.
Medical necessity for this procedure is established by the presence of a thrombosed external hemorrhoid causing significant pain or discomfort that has not responded to conservative treatment.The documentation must clearly support the severity of the patient's symptoms and the need for surgical intervention.
The physician prepares the patient, administers anesthesia, makes the incision, drains the blood, and removes the clot.
In simple words: This procedure removes a painful blood clot from a hemorrhoid located outside the anus.
Surgical incision into an external hemorrhoid for removal of a thrombus (blood clot) to relieve pain.The procedure involves making an incision over the thrombosed hemorrhoid, draining the blood, and removing the clot.
Example 1: A patient presents with a thrombosed external hemorrhoid causing significant pain.The physician performs an incision and drainage of the hemorrhoid to relieve the pain and remove the clot., A pregnant patient develops a thrombosed external hemorrhoid.Due to the severe pain and discomfort, the physician decides to perform an incision and drainage., A patient develops a thrombosed external hemorrhoid that has not resolved after several days of conservative treatment.The physician performs an incision and drainage to alleviate the patient's symptoms.
Documentation should include the location and size of the hemorrhoid, the presence of thrombosis, the severity of the patient's pain, and any conservative treatments attempted prior to the procedure.Post-operative notes should detail the amount of blood and clot removed, any complications, and post-operative instructions provided to the patient.
- Revenue Code: P6C - MINOR PROCEDURES - OTHER (MEDICARE FEE SCHEDULE)
- Specialties:General Surgery, Proctology, Colon and Rectal Surgery
- Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center