2025 CPT code 46947
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Digestive System Surgery Feed
Hemorrhoidopexy using a stapling device to reposition prolapsing internal hemorrhoids.
Modifiers may be applicable based on the specific circumstances of the procedure, such as multiple procedures (modifier 51) or reduced services (modifier 52).
Medical necessity for stapled hemorrhoidopexy is established when conservative management fails to provide adequate symptom relief for prolapsing hemorrhoids causing significant discomfort, bleeding, and/or bowel dysfunction. The procedure should be considered for patients with grade 3 or 4 internal hemorrhoids that persistently prolapse and have not responded to non-surgical treatments.
The surgeon performs the procedure, which involves inserting and firing a circular stapling device in the anal canal to resect and reposition hemorrhoidal tissue.Post-operative care and bleeding control are also the responsibility of the surgeon. Anesthesia may be administered by a separate provider.
In simple words: This surgery fixes prolapsed (fallen out of place) internal hemorrhoids without removing them. A special stapler device is used to reposition the hemorrhoids and reduce their blood supply, making them shrink and go back to their normal location in the anus.This often leads to less pain and faster recovery than traditional hemorrhoid surgery.
Stapled hemorrhoidopexy is a minimally invasive surgical procedure used to treat prolapsing internal hemorrhoids.A circular stapling device is used to resect a circumferential strip of mucosa and submucosa above the hemorrhoids. This repositions the hemorrhoidal cushions back into their normal anatomical location and reduces blood flow to the hemorrhoids, causing them to shrink. The procedure involves inserting a circular stapler into the anal canal, firing the stapler to create the resection and staple the tissue, and then removing the instrument.Bleeding is controlled, and any necessary sutures are placed.
Example 1: A 45-year-old patient presents with grade 3 prolapsing internal hemorrhoids causing significant discomfort and bleeding. Stapled hemorrhoidopexy is performed to reposition the hemorrhoids and reduce symptoms., A 60-year-old patient with recurrent prolapse despite conservative treatment undergoes stapled hemorrhoidopexy to alleviate symptoms and prevent further prolapse., A 38-year-old patient with severe hemorrhoidal prolapse and significant pain, bleeding, and difficulty with bowel movements that have not responded to conservative treatment is a candidate for stapled hemorrhoidopexy.
Preoperative assessment, including patient history, physical exam, and proctoscopy findings; operative report detailing the procedure performed, including type of stapler used; post-operative assessment including pain management, bleeding, and bowel function.
** Stapled hemorrhoidopexy is a newer technique and may not be appropriate for all patients.Patient selection and appropriate surgical technique are important factors in determining the success of the procedure.
- Revenue Code: P5E (AMBULATORY PROCEDURES - OTHER)
- RVU: This information is not available in the provided source.
- Global Days: This information is not available in the provided source.Refer to the global surgical package guidelines provided by your payer.
- Payment Status: Active
- Modifier TC rule: This information is not available in the provided source.Refer to your payer's guidelines.
- Fee Schedule: This information is not available in the provided source.Fee schedules vary by payer and location.
- Specialties:Colorectal Surgery, General Surgery
- Place of Service:Ambulatory Surgical Center, Hospital Outpatient Department