© Copyright 2025 American Medical Association. All rights reserved.
The CPT® Code 46917 refers to the procedure for the destruction of lesions located in the anal region, specifically utilizing laser surgery as the method of treatment. This procedure is indicated for various types of anal lesions, including condyloma, papilloma, molluscum contagiosum, and herpetic vesicles. During the procedure, the physician evaluates the lesion(s) and selects the most suitable destruction technique based on the specific characteristics of the lesions. Local anesthesia may be administered to ensure patient comfort during the procedure. The use of laser surgery allows for precise targeting of the lesion, minimizing damage to surrounding healthy tissue. This method is part of a broader category of treatments for anal lesions, which may also include chemical destruction, electrodessication, cryosurgery, and surgical excision, each with its own specific indications and techniques. The choice of procedure is determined by the type, size, and number of lesions present, as well as the overall health of the patient.
© Copyright 2025 Coding Ahead. All rights reserved.
The procedure described by CPT® Code 46917 is indicated for the treatment of various anal lesions. These include:
The procedure for CPT® Code 46917 involves several key steps to ensure effective destruction of the anal lesions:
Following the procedure, patients may experience some discomfort or swelling in the treated area. It is important for the physician to provide post-procedure care instructions, which may include recommendations for pain management, hygiene practices, and signs of potential complications to watch for. Patients are typically advised to avoid any activities that may irritate the area until healing is complete. Follow-up appointments may be scheduled to monitor the healing process and to ensure that the lesions have been effectively treated.
| Short Descr | LASER SURGERY ANAL LESIONS | Medium Descr | DSTRJ LESION ANUS SIMPLE LASER SURG | Long Descr | Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery | Status Code | Active Code | Global Days | 010 - Minor Procedure | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple 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. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Hospital Part B services paid through a comprehensive APC | 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) | P6C - Minor procedures - other (Medicare fee schedule) | MUE | 1 | CCS Clinical Classification | 95 - Other non-OR lower GI therapeutic procedures |
| 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. | 58 | Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period: it may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. this circumstance may be reported by adding modifier 58 to the staged or related procedure. note: for treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78. | 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.) | GC | This service has been performed in part by a resident under the direction of a teaching physician | Q1 | Routine clinical service provided in a clinical research study that is in an approved clinical research study | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure |
|
Date
|
Action
|
Notes
|
|---|---|---|
| 2011-01-01 | Changed | Short description changed. |
| Pre-1990 | Added | Code added. |
Get instant expert-level medical coding assistance.