CPT code 46083 is a medical billing code used to describe the procedure for incising an external hemorrhoid.
CPT code 46083 is used to describe the surgical procedure of incising an external hemorrhoid. This code specifically refers to the surgical intervention where a healthcare provider makes an incision to relieve symptoms associated with external hemorrhoids, such as pain or swelling. The procedure is typically performed to alleviate discomfort and may involve the removal of the hemorrhoid tissue.
For CPT code 46083 (Incise external hemorrhoid), the following modifiers may be applicable:
1. Modifier 22 - Increased Procedural Services: Use this modifier if the procedure required significantly greater effort than typically required.
2. Modifier 50 - Bilateral Procedure: If the procedure was performed on both sides of the body, this modifier should be appended.
3. Modifier 51 - Multiple Procedures: If multiple procedures were performed during the same surgical session, this modifier should be used.
4. Modifier 52 - Reduced Services: If the procedure was partially reduced or eliminated at the physician's discretion, this modifier is appropriate.
5. Modifier 59 - Distinct Procedural Service: Use this modifier to indicate that the procedure was distinct or independent from other services performed on the same day.
6. Modifier 76 - Repeat Procedure by Same Physician: If the same procedure was repeated by the same physician, this modifier should be used.
7. Modifier 77 - Repeat Procedure by Another Physician: If the procedure was repeated by a different physician, this modifier is applicable.
8. Modifier 78 - Unplanned Return to the Operating/Procedure Room by the Same Physician Following Initial Procedure for a Related Procedure During the Postoperative Period: Use this modifier if the patient required an unplanned return to the operating room for a related procedure.
9. Modifier 79 - Unrelated Procedure or Service by the Same Physician During the Postoperative Period: If an unrelated procedure was performed by the same physician during the postoperative period, this modifier should be used.
10. Modifier 80 - Assistant Surgeon: If an assistant surgeon was required for the procedure, this modifier is appropriate.
11. Modifier 81 - Minimum Assistant Surgeon: Use this modifier if a minimum assistant surgeon was required.
12. Modifier 82 - Assistant Surgeon (when qualified resident surgeon not available): If an assistant surgeon was necessary due to the unavailability of a qualified resident surgeon, this modifier should be used.
13. Modifier AS - Physician Assistant, Nurse Practitioner, or Clinical Nurse Specialist services for assistant at surgery: This modifier is used when these specific non-physician practitioners assist in the surgery.
Each of these modifiers serves a specific purpose and should be used according to the circumstances surrounding the procedure to ensure accurate billing and reimbursement.
CPT code 46083 is reimbursed by Medicare. This code is listed on the Medicare Physician Fee Schedule (MPFS), which indicates that it is a covered service. However, reimbursement may vary depending on the specific Medicare Administrative Contractor (MAC) in your region and any applicable local coverage determinations. It's important to verify coverage and reimbursement rates with your local MAC to ensure accurate billing and payment for this procedure.
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