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2025 CPT code 46924

Destruction of lesion(s), anus (e.g., condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (e.g., laser surgery, electrosurgery, cryosurgery, chemosurgery).

The documentation must clearly support the "extensive" nature of the lesion destruction to justify the use of code 46924.If the destruction is not considered extensive, use the appropriate code for simple destruction (46900, 46910, 46916, 46917, or 46922).

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.

IMPORTANT:For simple destruction of anal lesions, consider codes 46900, 46910, 46916, 46917, or 46922.For incision of thrombosed external hemorrhoid, use 46083. For ligation of internal hemorrhoid(s), see 46221, 46945, 46946. For excision of internal and/or external hemorrhoid(s), see 46250-46262, 46320. For injection of hemorrhoid(s), use 46500. For destruction of internal hemorrhoid(s) by thermal energy, use 46930. For destruction of hemorrhoid(s) by cryosurgery, use 46999. For transanal hemorrhoidal dearterialization, including ultrasound guidance, with mucopexy, when performed, use 46948. For hemorrhoidopexy, use 46947. Do not report 46600 in conjunction with 46020-46947, 0184T, during the same operative session.

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
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