Billing and Coding: Hemorrhoid Artery Ligation

Doppler-guided hemorrhoid artery ligation (with or without retroanal repair) is reimbursable for patients with Grade II or III hemorrhoids only after failure of rubber band ligation or conservative measures (behavior modification, high-fiber diet, topical hydrocortisone). Claims must be submitted using CPT code 46948, and a set of specified CPT codes (46020, 46221, 46250, 46255, 46257, 46258, 46260, 46261, 46262, 46600, 46945, 46946, 76872, 76942, 76998) should not be reported with 46948.

"Doppler-guided hemorrhoid artery ligation, with or without retroanal repair, is a covered service."

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