CPT® Code 46262

Hemorrhoids are enlarged blood vessels, also known as varices, located in the anal region. They can be classified into two 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 46262 involves a comprehensive surgical approach to treat both internal and external hemorrhoids, specifically when they are organized into two or more columns or groups. This procedure is more complex as it includes a hemorrhoidectomy, which is the surgical excision of the hemorrhoids, and a fistulectomy, which involves the removal of a fistula—a pathological connection between two epithelial surfaces. Additionally, a fissurectomy may be performed if an anal fissure, characterized by painful cracks in the mucous membrane of the anus, is present. The surgical technique entails making incisions to excise the hemorrhoidal masses, controlling any bleeding, and addressing any associated conditions such as fistulas or fissures, thereby providing a comprehensive treatment for patients suffering from these conditions.