does the CPT use of AND mean and OR like the ICD book?

i got this from https://www.supercoder.com/my-ask-an…ic/cpt-code-18 and would appreciate some clarification

"However, CPT 2010 has allowed you to be more innovative when coding these procedures. The text note "For excision of internal and/or external hemorrhoid(s), see 46250-46262, 46320" means you can now use 46255 (Hemorrhoidectomy, internal and external, single column/group) for the excision of one internal hemorrhoid (or 46260 [… 2 or more columns/ groups] for excision of multiple internal hemorrhoids).
You can code 46260 for just internal hemorroids too! "

since the book does not state that, only AND
thx
charlie