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2025 CPT code 46922

Surgical excision of an anal lesion.

Refer to CPT guidelines for specific instructions on coding anal lesion excisions.

Modifiers may be applicable. Refer to current CPT guidelines for appropriate modifier usage.

Medical necessity for this procedure is established by the presence of a symptomatic or bothersome anal lesion requiring surgical removal.

The physician prepares the patient, administers anesthesia, identifies the lesion, excises it with a curette or scissors, controls bleeding, and closes the incision.

IMPORTANT:For destruction of anal lesions by chemicals, use 42900; by electrodesiccation, use 46910; by cryosurgery, use 46916; by laser, use 46917; for extensive lesions, use 46924.

In simple words: The doctor removes a growth or sore around the anus by cutting it out.

Destruction of anal lesions (e.g., condyloma, papilloma, molluscum contagiosum, herpetic vesicle) by surgical excision.

Example 1: A patient presents with a condyloma around the anus. The physician excises the lesion surgically., Multiple molluscum contagiosum lesions are identified on a patient's perianal skin. The physician surgically removes all lesions., A patient has a painful herpetic vesicle near the anus. After appropriate anesthesia, the physician excises the lesion.

Documentation should include the type and location of the lesion, the method of excision, and any complications encountered. Anesthesia records and post-operative instructions should also be documented.

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