2025 CPT code 46900
(Active) Effective Date: N/A Revision Date: N/A Surgery - Destruction Procedures on the Anus Surgery Feed
Simple chemical destruction of anal lesions (e.g., condyloma, papilloma, molluscum contagiosum, herpetic vesicle).
Modifiers may be applicable depending on the circumstances of the service. Consult the most recent CPT codebook and modifier guidelines for appropriate modifier application.Modifiers like 51 (multiple procedures) and 22 (increased procedural services) could be used under certain circumstances.
Medical necessity is established when the anal lesion(s) is/are symptomatic and/or pose a risk to the patient's health (e.g., potential for infection, discomfort, or aesthetic concerns). The chemical destruction method must be deemed medically appropriate based on the characteristics of the lesion(s).
The physician or qualified healthcare professional identifies and chemically destroys the anal lesion(s). This may involve preparation of the perianal skin, application of the chemical agent, and monitoring the patient's response. Post-procedure instructions are also provided.
In simple words: This code covers the removal of small, abnormal growths or sores around the anus using a special chemical solution that burns them away.This is for smaller, simpler cases.More extensive cases are billed differently.
This CPT code encompasses the simple chemical destruction of one or more lesions located on the anus.Lesions may include condyloma, papilloma, molluscum contagiosum, or herpetic vesicles. The procedure involves the application of a chemical agent, such as bichloracetic acid or dichloroacetic acid, to cauterize and destroy the targeted lesion(s). The extent of the lesions determines the choice between code 46900 (for simple cases) and 46924 (for extensive cases requiring multiple techniques).
Example 1: A patient presents with a single, small condyloma on the perianal skin. The physician applies bichloracetic acid to the lesion, resulting in its destruction. Code 46900 is used for billing., A patient has multiple small, superficial papillomas around the anus.The physician treats these with a chemical cauterization agent.Code 46900 is appropriate, provided the procedure is considered simple and does not require extensive techniques., A patient presents with a single herpetic vesicle on the anus. The physician uses a chemical agent to destroy the vesicle. This simple procedure is appropriately coded with 46900.
* Complete patient history, including the nature, location, and size of the lesion(s).* Detailed description of the procedure performed, including the type and amount of chemical agent used.* Documentation of the patient's response to the procedure.* Pre- and post-operative photographs of the lesion(s) (if applicable).* Patient education regarding post-operative care and follow-up appointments.
** This code is used for the simple destruction of anal lesions using chemical agents. For more complex cases involving numerous lesions or requiring multiple techniques, CPT code 46924 would be more appropriate.
- Revenue Code: P6C (Minor Procedures - Other)
- RVU: Refer to the most current Medicare fee schedule and/or payer-specific relative value units for reimbursement information.RVUs vary based on geographic location and other factors.
- Global Days: No global period is associated with this code.
- Payment Status: Active
- Modifier TC rule: This code does not have a technical component modifier associated with it.
- Fee Schedule: Fee schedule information is not included in the provided data.Refer to payer-specific fee schedules and historical data for reimbursement information.
- Specialties:Colorectal Surgery, Gastroenterology, Dermatology
- Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center