How To Use CPT Code 46505

CPT 46505 describes the chemodenervation procedure performed by a healthcare provider to treat anal fissures by injecting a substance into the internal anal sphincter. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 46505?

CPT 46505 can be used to describe the chemodenervation procedure performed by a healthcare provider to treat anal fissures. During this procedure, a substance is injected into the internal anal sphincter to interrupt the neurological signals and relax the muscle, preventing muscle spasms in the sphincter.

2. Official Description

The official description of CPT code 46505 is: ‘Chemodenervation of internal anal sphincter.’

3. Procedure

1. The healthcare provider administers a chemical substance, such as botulinum toxin or atropine, through an injection into the internal anal sphincter.
2. This injection causes relaxation of the muscles, preventing muscle spasms in the sphincter.
3. The procedure is performed to treat anal fissures, which are cracks or tears in the skin of the anal canal that may cause spasms in the anal sphincter.

4. Qualifying circumstances

Patients eligible for CPT 46505 are those with anal fissures that require treatment through chemodenervation of the internal anal sphincter. The procedure is performed by a healthcare provider and involves the injection of a substance into the sphincter to relax the muscles and prevent muscle spasms.

5. When to use CPT code 46505

CPT code 46505 should be used when a healthcare provider performs the chemodenervation procedure on the internal anal sphincter to treat anal fissures. It is important to ensure that the procedure is performed by a qualified healthcare provider and that the substance is injected into the sphincter to relax the muscles and prevent muscle spasms.

6. Documentation requirements

To support a claim for CPT 46505, the healthcare provider must document the following information:

• Patient’s diagnosis of anal fissures
• Specific substance used for chemodenervation
• Date of the procedure
• Details of the procedure, including the injection site and technique
• Any complications or adverse reactions
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT 46505, ensure that the procedure is performed by a qualified healthcare provider and that the substance is injected into the internal anal sphincter. There are no specific guidelines regarding reporting CPT 46505 with other codes.

8. Historical information

CPT 46505 was added to the Current Procedural Terminology system on January 1, 2006. There have been no updates to the code since its addition.

9. Examples

1. A healthcare provider performing chemodenervation of the internal anal sphincter to treat anal fissures in a patient.
2. An injection of botulinum toxin into the internal anal sphincter to relax the muscles and prevent muscle spasms in a patient with anal fissures.
3. A healthcare provider using atropine to chemodenervate the internal anal sphincter and treat anal fissures in a patient.
4. The chemodenervation procedure performed by a healthcare provider to relax the muscles of the internal anal sphincter and alleviate muscle spasms in a patient with anal fissures.
5. An injection of a substance into the internal anal sphincter to interrupt the neurological signals and prevent muscle spasms in a patient with anal fissures.
6. A healthcare provider administering chemodenervation of the internal anal sphincter to treat anal fissures and provide relief to the patient.
7. The chemodenervation procedure performed by a qualified healthcare provider to relax the muscles of the internal anal sphincter and alleviate muscle spasms in a patient with anal fissures.
8. An injection of a substance into the internal anal sphincter to treat anal fissures and prevent muscle spasms in a patient.
9. A healthcare provider using chemodenervation to relax the muscles of the internal anal sphincter and alleviate muscle spasms in a patient with anal fissures.
10. The chemodenervation procedure performed by a healthcare provider to treat anal fissures and provide relief to the patient by relaxing the muscles of the internal anal sphincter.