CPT® Code 46258

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 46258 involves a hemorrhoidectomy that addresses both internal and external hemorrhoids, specifically targeting a single column or group of these enlarged vessels. This surgical intervention is often necessary when hemorrhoids cause significant discomfort or complications. In addition to the removal of hemorrhoids, this procedure may also include a fistulectomy, which is the excision of a fistula—a pathological connection between two epithelial surfaces. Furthermore, if an anal fissure, which is a painful tear in the anal mucosa, is present, a fissurectomy may also be performed during this procedure. The combination of these surgical techniques aims to alleviate symptoms and restore normal function in the anal region.