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2025 CPT code 46910

Destruction of anal lesions (condyloma, papilloma, molluscum contagiosum, herpetic vesicle) using electrodesiccation.

Consult the official CPT coding guidelines for accurate coding practices.

Modifiers may apply depending on the circumstances of the procedure. Consult the CPT guidelines for modifier use.

Medical necessity is established when the lesions are symptomatic (pain, bleeding, itching) or pose a risk of infection or secondary complications.The physician should document the clinical indication for the procedure in the patient's chart.

The physician identifies and destroys the perianal lesions using electrodesiccation.

IMPORTANT:46900 (chemical destruction), 46916 (cryosurgery), 46917 (laser surgery), 46922 (surgical excision), 46924 (extensive destruction).

In simple words: This code covers the removal of small, abnormal growths around the anus using a heat treatment.A device uses electricity to burn away the growths.

This CPT code, 46910, describes the destruction of one or more simple anal lesions, such as condyloma, papilloma, molluscum contagiosum, or herpetic vesicle, using electrodesiccation.Electrodesiccation involves the use of a high-frequency electric current to dehydrate and destroy the tissue.The procedure is considered "simple" if the lesions are limited in size and number and do not require extensive tissue removal or complex techniques.

Example 1: A patient presents with a single, small condyloma acuminatum on the anal verge. The physician uses electrodesiccation to destroy the lesion., A patient has multiple small molluscum contagiosum lesions around the anus. The physician performs electrodesiccation to remove the lesions., A patient with a history of HPV presents with several small papillomas on the perianal skin. The physician elects to use electrodesiccation for their removal.

A complete medical history, physical examination notes documenting the location, size, and number of lesions, and operative report detailing the procedure performed, including the method of destruction and the number of lesions treated.Pre- and post-operative photos may be beneficial.

** The definition of "simple" versus "extensive" lesion destruction is not explicitly defined in the CPT manual.Clinical judgment is required to determine the appropriate code based on the size, number, and complexity of the lesions.

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