2025 CPT code 46924
Effective Date: N/A Surgery - Surgical Procedures on the Digestive System Surgery Feed
Destruction of lesion(s), anus (e.g., condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (e.g., laser surgery, electrosurgery, cryosurgery, chemosurgery).
Modifiers may be applicable. Refer to current CPT guidelines for appropriate modifier usage.
Medical necessity should be established by documenting the symptoms caused by the anal lesions, such as pain, bleeding, or itching. The documentation should also support the need for extensive destruction, as opposed to simple destruction.
The physician is responsible for preparing and anesthetizing the patient, then performing the lesion destruction using the chosen method.This may involve techniques like laser surgery, electrosurgery, cryosurgery, or chemosurgery, especially in cases of malignant lesions.
In simple words: This procedure involves the removal of extensive anal lesions, such as warts, skin tags, or herpes sores, using methods like laser, electrical current, freezing, or chemicals.
This code describes the extensive destruction of lesions of the anus, including condyloma, papilloma, molluscum contagiosum, and herpetic vesicles, using methods like laser surgery, electrosurgery, cryosurgery, or chemosurgery.
Example 1: A patient presents with extensive anal condylomas. The physician performs electrosurgical destruction of the lesions., A patient has multiple large molluscum contagiosum lesions around the anus.The physician performs cryosurgical destruction of the lesions., A patient has extensive herpetic vesicles around the anus.The physician uses laser surgery to destroy the lesions.
Documentation should include the type, size, and location of the lesions, the method of destruction used, and any complications encountered. Photos or diagrams may be helpful. The extent of the lesions should be clearly documented to justify the use of the "extensive" destruction code.
** The distinction between "simple" and "extensive" destruction is not clearly defined by CPT and relies on physician judgment.Documentation should clearly support the chosen code.This information is current as of December 1, 2024 and may be subject to change.
- Specialties:General Surgery, Proctology, Dermatology, Colon and Rectal Surgery
- Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center