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CPT®
46210

CPT® Code 46210
Deleted

Official Description

Cryptectomy; single

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

An anal cryptectomy, designated by CPT® Code 46210, is a surgical procedure aimed at excising a single anal crypt, which is a small pocket or groove located in the mucosa of the anal canal. These anal crypts, also referred to as anal sinuses or Morgagni sinuses, contribute to the characteristic scalloped appearance of the anal canal. The procedure is primarily indicated for patients suffering from chronic infection of the anal crypts, a condition known as cryptitis. During the cryptectomy, the surgeon makes an incision in the mucous membrane surrounding the affected anal crypt. This incision is carefully extended around the entire crypt to ensure complete excision. Following the removal of the crypt, the mucous membrane is sutured closed as necessary to promote proper healing. It is important to note that CPT® Code 46210 is specifically used for the excision of a single crypt, while CPT® Code 46211 is designated for the excision of multiple crypts.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

The anal cryptectomy procedure is indicated for the following conditions:

  • Chronic Infection (Cryptitis) This condition involves persistent inflammation and infection of the anal crypts, leading to discomfort and potential complications if left untreated.

2. Procedure

The procedure for an anal cryptectomy involves several key steps to ensure the effective removal of the affected anal crypt.

  • Step 1: Anesthesia Administration The procedure typically begins with the administration of appropriate anesthesia to ensure patient comfort during the surgery. This may involve local anesthesia or sedation, depending on the patient's needs and the surgeon's preference.
  • Step 2: Incision of the Mucous Membrane Once the patient is adequately anesthetized, the surgeon makes an incision in the mucous membrane surrounding the anal crypt. This incision is critical as it allows access to the crypt for excision.
  • Step 3: Circumferential Dissection The incision is then extended circumferentially around the anal crypt. This careful dissection is performed to ensure that the entire crypt is accessible for removal, minimizing the risk of leaving any infected tissue behind.
  • Step 4: Excision of the Crypt After the circumferential incision is made, the surgeon excises the anal crypt completely. This step is crucial for resolving the chronic infection and preventing recurrence.
  • Step 5: Closure of the Mucous Membrane Following the excision, the mucous membrane is closed as needed with sutures. This closure is important for proper healing and to restore the integrity of the anal canal.

3. Post-Procedure

After the anal cryptectomy, patients may experience some discomfort and swelling in the anal area. Post-procedure care typically includes pain management, instructions for wound care, and recommendations for dietary modifications to promote healing. Patients are advised to monitor for any signs of infection or complications and to follow up with their healthcare provider as directed. Recovery time may vary, but most patients can expect to resume normal activities within a few days, depending on their individual healing process.
Short Descr REMOVAL OF ANAL CRYPT
Medium Descr REMOVAL OF ANAL CRYPT
Long Descr CRYPTECTOMY 1
APC Status Indicator Significant Procedure, Multiple Reduction Applies
Type of Service (TOS) 2 - Surgery
Berenson-Eggers TOS (BETOS) none
MUE Not applicable/unspecified.
CCS Clinical Classification 96 - Other OR lower GI therapeutic procedures
Date
Action
Notes
2010-01-01 Deleted -
Pre-1990 Added Code added.
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Description
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