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Question
One of my providers asked me if he could bill code 46221 more than one time per visit with different degrees of hemorrhoids, for example, codes 46221 K64.1 and 46221-59 K64.2. I entered this into coding software, and it said there was no problem with the claim. This seemed unusual to me. Can you verify that billing these codes together is allowed?
Answer
Yes, surprisingly, there isn't an edit for this one. The CPT code 46221 (hemorrhoidectomy, internal, by rubber band ligation[s]) is plural, meaning this includes more than one. Per the , there is a limit of one billed per encounter.