CPT® Code 46260

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 46260 involves a hemorrhoidectomy, which is the surgical removal of both internal and external hemorrhoids. Specifically, this code applies when the excision is performed on two or more columns or groups of hemorrhoidal tissue. During the procedure, the physician makes an elliptical incision that fully encompasses the external hemorrhoid, allowing for effective dissection down to the muscle tissue beneath. The entire hemorrhoidal mass is then excised, and any bleeding that occurs is controlled using electrocautery, a technique that utilizes electrical currents to cauterize blood vessels. After the excision, the surgical wound may either be closed with sutures or left open to heal through granulation. This process is repeated for each hemorrhoidal mass that is excised. The same surgical technique is applied to internal hemorrhoids, ensuring comprehensive treatment of the condition. This procedure is critical for patients suffering from significant discomfort or complications associated with hemorrhoids, providing relief and improving quality of life.