Can cpt codes 45990 and 46922 be billed together?

CPT codes 45990 and 46922 can be billed together under certain circumstances. Code 45990 refers to the excision of an anal fissure, while code 46922 is for the excision of external hemorrhoids. If both procedures were performed during the same operative session and are medically necessary, they can be billed together using appropriate modifiers to indicate that multiple procedures were performed. It is crucial to ensure that the documentation supports the medical necessity of both procedures to avoid potential billing issues.