CPT® Code 46257

Hemorrhoids are swollen blood vessels located in the anal region, which can be classified into two types: internal and external. Internal hemorrhoids are situated within the anal canal, while external hemorrhoids are found outside the anal opening. The procedure described by CPT® Code 46257 involves a hemorrhoidectomy that addresses both internal and external hemorrhoids, specifically focusing on a single column or group of these enlarged vessels. During the hemorrhoidectomy, the physician performs an elliptical incision around the hemorrhoidal mass, excising it completely down to the muscle tissue. This excision is crucial for alleviating the symptoms associated with hemorrhoids, such as pain, bleeding, and discomfort. In addition to the hemorrhoidectomy, this procedure includes a fissurectomy, which is the surgical removal of anal fissures—painful tears in the mucous membrane of the anus. The fissurectomy is performed by making an incision adjacent to the fissure and excising it entirely. This combined approach of treating both hemorrhoids and fissures aims to provide comprehensive relief from anal discomfort and improve the patient's quality of life. The procedure is typically performed under anesthesia, and careful attention is given to controlling any bleeding that may occur during the excision process. Overall, CPT® Code 46257 represents a significant surgical intervention for patients suffering from both hemorrhoids and anal fissures, addressing their conditions in a single operative session.