2025 CPT code 46601
Effective Date: N/A Surgery - Surgical Procedures on the Digestive System Feed
Diagnostic anoscopy with high-resolution magnification (HRA) and chemical agent enhancement, including specimen collection by brushing or washing.
Modifiers may be applicable. Refer to payer guidelines.
Medical necessity should be supported by the patient's symptoms, medical history, and suspected diagnosis.
The physician prepares the patient, administers anesthesia if necessary, inserts the anoscope, applies the chemical agent, examines the anal canal, and collects any necessary specimens.The specimens are then sent to a laboratory for analysis.
In simple words: The doctor examines the anus using a small tube and a magnifying device. A special dye is used to help see the area better.Samples may be collected with a brush or by rinsing the area.
The physician performs a diagnostic anoscopy using high-resolution magnification (e.g., colposcope, operating microscope) and a chemical agent to enhance visualization.This includes collecting specimens via brushing or washing, if performed.This code should not be reported with code 69990.
Example 1: A patient presents with anal itching and bleeding.High-resolution anoscopy with chemical enhancement is performed to evaluate for abnormalities and collect specimens for further testing., A patient with a history of anal warts undergoes high-resolution anoscopy for surveillance. The physician uses magnification and chemical enhancement to identify any recurrence., A patient reports persistent anal pain. High-resolution anoscopy is performed to assess for fissures, hemorrhoids, or other sources of discomfort. Specimens are collected for analysis.
Documentation should include the reason for the anoscopy, the findings during the procedure, any specimens collected, and the type of magnification and chemical agent used.
- Specialties:Gastroenterology, Proctology, General Surgery
- Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center