CPT® Code 46261

Hemorrhoids are enlarged blood vessels, also known as varices, located in the anal region. They can be classified into two main types: internal hemorrhoids, which are situated inside the anal canal, and external hemorrhoids, which are found outside the anal opening. The procedure described by CPT® Code 46261 involves a hemorrhoidectomy that addresses both internal and external hemorrhoids, specifically when there are two or more columns or groups of hemorrhoids present. In addition to the excision of these hemorrhoids, this procedure includes a fissurectomy, which is the surgical removal of anal fissures—painful cracks in the mucous membrane of the anus. The technique for performing the hemorrhoidectomy involves making an elliptical incision around the hemorrhoidal mass, followed by dissection down to the muscle tissue to completely excise the hemorrhoids. Bleeding during the procedure is typically controlled using electrocautery, and the surgical site may be closed with sutures or left open to heal naturally. The fissurectomy is performed by making an incision adjacent to the fissure, which is then excised in its entirety. This comprehensive approach addresses both the hemorrhoids and any associated fissures, providing relief from pain and discomfort associated with these conditions.