In simple words: The doctor removes a cluster of swollen veins (hemorrhoids) inside or outside the anus. This involves a small cut, removing the hemorrhoids, and then either stitching the area or leaving it open to heal.

This procedure involves the surgical removal of a single group or column of internal and/or external hemorrhoids.The surgeon makes an incision around the hemorrhoidal column, separates it from surrounding tissues, and removes it through the anal canal. Hemostasis is achieved, and the area is irrigated with antibiotics. The incision may be closed with sutures or left open to heal naturally.

Example 1: A 45-year-old patient presents with a single symptomatic external hemorrhoid and a small internal hemorrhoid in the same column.The surgeon performs a hemorrhoidectomy using 46255., A 60-year-old patient with a history of constipation and straining has developed a single group of internal and external hemorrhoids causing significant pain and bleeding.The surgeon performs a hemorrhoidectomy under local anesthesia using 46255., A 30-year-old patient presents with a single, large symptomatic external hemorrhoid that is causing significant discomfort. The surgeon performs a 46255 hemorrhoidectomy.

* Preoperative diagnosis clearly indicating the presence of one group of internal and/or external hemorrhoids.* Operative report detailing the surgical technique, including the number of hemorrhoids excised and location (internal, external, or both).* Postoperative notes documenting the patient's recovery and any complications.* Any relevant imaging studies (if performed).

** This code is used for the excision of a single group of hemorrhoids. If multiple groups are excised, multiple units of 46255 may be reported, or other appropriate CPT codes should be used.Always refer to the latest CPT codebook for the most up-to-date information and guidelines.