AAPC Certified Professional Coder (CPC) — Question 22

The gastroenterologist performs a simple excision of three external hemorrhoids and one internal hemorrhoid, each lying along the left lateral column. The operative report indicates that the internal hemorrhoid is not prolapsed and is outside of the anal canal.
What CPT® and ICD-10CM codes are reported?

Answer options

• A. 46320, 46945, K64.0, K64.9
• B. 46250, K64.0, K64.9
• C. 46255, K64.0, K64.4
• D. 46250, 46945, K64.0, K64.4

Correct answer: C

Explanation

The correct answer is C because CPT code 46255 is appropriate for the excision of an internal hemorrhoid that is not prolapsed, while K64.0 indicates a first-degree hemorrhoid and K64.4 denotes a fourth-degree hemorrhoid, which fits the situation. The other options either do not match the procedure performed or include incorrect codes for the condition described.