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The CPT® Code 46611 refers to a specific medical procedure known as anoscopy, which involves the examination of the anal canal and lower rectum using a specialized instrument called an anoscope. This procedure is particularly focused on the removal of a single tumor, polyp, or other lesion utilizing a technique known as snare technique. The snare technique involves the use of a wire loop that is placed around the lesion. Once positioned, the loop is heated, allowing it to effectively shave off and cauterize the lesion simultaneously. This method is advantageous as it can either remove the lesion in its entirety with a single application of the snare or, in cases where the lesion is larger, it may be removed piecemeal, requiring multiple applications of the snare. The procedure is typically performed in a clinical setting and is essential for addressing various conditions affecting the anal and rectal areas, particularly those involving abnormal growths such as polyps or tumors.
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The procedure described by CPT® Code 46611 is indicated for the removal of specific lesions within the anal canal and lower rectum. The following conditions may warrant the performance of this procedure:
The procedure for CPT® Code 46611 involves several critical steps to ensure the effective removal of the lesion. The following outlines the procedural steps:
Following the completion of the procedure, the patient may be monitored for any immediate complications, such as bleeding or discomfort. Post-procedure care typically includes instructions for the patient regarding activity restrictions and signs of potential complications to watch for, such as excessive bleeding or signs of infection. The clinician may also provide guidance on follow-up appointments to assess healing and discuss any further treatment if necessary. Recovery time can vary based on the individual and the complexity of the lesion removed, but most patients can expect a relatively quick recovery with appropriate care.
| Short Descr | ANOSCOPY | Medium Descr | ANOSC RMVL 1 TUM POLYP/OTH LES SNARE TQ | Long Descr | Anoscopy; with removal of single tumor, polyp, or other lesion by snare technique | Status Code | Active Code | Global Days | 000 - Endoscopic or Minor Procedure | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 3 - Special payment adjustment rules for multiple endoscopic procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 1 - Statutory payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Endoscopic Base Code | 46600 Anoscopy; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Procedure or Service, Multiple Reduction Applies | ASC Payment Indicator | Surgical procedure on ASC list in CY 2007; payment based on OPPS relative payment weight. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P8I - Endoscopy - other | MUE | 1 | CCS Clinical Classification | 77 - Proctoscopy and anorectal biopsy |
| 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | 79 | Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.) |
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| 1994-01-01 | Added | First appearance in code book in 1994. |
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