CPT® Code 46255

Hemorrhoids are swollen blood vessels located in the anal region, which can be classified into two main types: internal and external. Internal hemorrhoids occur within the anal canal, while external hemorrhoids are found outside the anal opening. The procedure described by CPT® Code 46255 involves a hemorrhoidectomy that targets either internal or external hemorrhoids, specifically focusing on a single column or group of these enlarged vessels. During this surgical intervention, the physician performs an elliptical incision that fully encircles the external hemorrhoid, allowing for effective dissection down to the underlying muscle tissue. The entire hemorrhoidal mass is then excised, and any bleeding that may occur during the procedure is managed using electrocautery, a technique that employs electrical current to coagulate blood vessels. After the excision, the surgical site may be closed with sutures or left open to heal through granulation. This process is repeated for each hemorrhoidal mass that is removed. The same surgical technique is applied when addressing internal hemorrhoids, ensuring a comprehensive approach to treating this condition. It is important to note that related procedures, such as those described in CPT® Codes 46257 and 46258, involve additional interventions like fissurectomy and fistulectomy, which address associated anal fissures and fistulas, respectively.