2025 CPT code 46930
(Active) Effective Date: N/A Revision Date: N/A Surgical Procedures on the Digestive System - Hemorrhoid Procedures Surgery Feed
Destruction of internal hemorrhoids using thermal energy (e.g., infrared coagulation, cautery, radiofrequency).
Modifiers may apply depending on the circumstances of the procedure.Consult the appropriate modifier guidelines for further clarification.
Medical necessity for this procedure is established when conservative management options have failed to alleviate symptoms of internal hemorrhoids, such as bleeding, pain, or prolapse. The severity of symptoms and the impact on the patient's quality of life should justify the use of thermal energy destruction of the hemorrhoids.
The physician or qualified healthcare professional performs the destruction of the internal hemorrhoids using thermal energy. This involves precise application of the chosen thermal energy method to the affected hemorrhoidal tissue, requiring expertise in anorectal anatomy and the safe use of the chosen instrument.
In simple words: This code describes a procedure where a doctor uses heat (like infrared light or radio waves) to destroy internal hemorrhoids.This is a non-surgical method to treat hemorrhoids that are inside the rectum.
This CPT code encompasses the destruction of internal hemorrhoids using various thermal energy methods.These methods include, but are not limited to, infrared coagulation, cauterization, and radiofrequency ablation. The procedure involves applying thermal energy to the internal hemorrhoids, causing coagulation and destruction of the hemorrhoidal tissue.Specific techniques may involve the use of instruments such as bipolar diathermy devices, atomizer wands, or infrared photocoagulation mechanisms. The procedure targets hemorrhoids located above the dentate line.
Example 1: A patient presents with bleeding and discomfort from grade II internal hemorrhoids.The physician uses infrared coagulation to destroy the hemorrhoids., A patient with recurrent bleeding from internal hemorrhoids undergoes radiofrequency ablation to destroy the affected tissue., A patient with several small internal hemorrhoids undergoes a procedure using bipolar diathermy to destroy the hemorrhoids, reducing bleeding and discomfort.
* Detailed history and physical examination documenting the presence of internal hemorrhoids.* Preoperative assessment, including relevant investigations (e.g., anoscopy or proctoscopy).* Operative report specifying the technique used (e.g., infrared coagulation, cauterization, radiofrequency ablation), the number and location of hemorrhoids treated, and any complications encountered.* Postoperative care plan and follow-up.
** This code should only be used for the destruction of internal hemorrhoids using thermal energy.Other methods of hemorrhoid treatment have separate CPT codes.Accurate documentation of the specific technique used is essential for proper coding and reimbursement.
- Revenue Code: P1G (Major Procedure - Other)
- RVU: The RVUs for this code vary based on the specific location and other factors influencing reimbursement. Consult the appropriate fee schedule for the most accurate RVU values and reimbursement rates.
- Global Days: The global period for this procedure is not explicitly defined in the provided data.Further clarification is needed to establish a precise global period, which will vary depending on payer and other relevant factors.
- Payment Status: Active
- Modifier TC rule: This information is not available in the provided source.
- Fee Schedule: This information is not available in the provided source.
- Specialties:Colorectal Surgery, Gastroenterology, Proctology
- Place of Service:Office, Ambulatory Surgery Center, Hospital