How To Use CPT Code 46611

CPT 46611 describes the removal of a single tumor, polyp, or other lesion using a snare technique during an anoscopy procedure. 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 46611?

CPT 46611 is used to describe the removal of a single tumor, polyp, or other lesion using a snare technique during an anoscopy procedure. This code is specifically used when the provider passes a snare over the polyp or tumor and around its stalk, tightens the loop of the snare to grip the stalk, and then pulls the polyp or tumor away from the wall of the anus.

2. Official Description

The official description of CPT code 46611 is: ‘Anoscopy; with removal of single tumor, polyp, or other lesion by snare technique.’

3. Procedure

1. The provider inserts an anoscope through the anal canal to examine the inner wall of the anus and rectum.
2. A single tumor, polyp, or lesion is identified for removal.
3. The provider passes a snare over the marked polyp or lesion and pushes the sheath of the snare against the base of the polyp.
4. A low power current is passed through the snare, cutting the stalk and helping to coagulate the blood vessels to minimize bleeding.
5. The provider removes the snare, along with the polyp or tumor, from the wall of the anus.
6. The procedure is completed, and the anoscope is removed.

4. Qualifying circumstances

CPT 46611 is performed when a patient has a single tumor, polyp, or other lesion that requires removal during an anoscopy procedure. The provider must use a snare technique to remove the lesion, and the procedure must be performed on the anus. This code is not appropriate for multiple lesions or lesions in other locations.

5. When to use CPT code 46611

CPT code 46611 should be used when a provider performs an anoscopy procedure and removes a single tumor, polyp, or other lesion using a snare technique. It is important to ensure that the procedure meets the specific criteria outlined in the code description.

6. Documentation requirements

To support a claim for CPT 46611, the provider must document the following information:

• Indication for the procedure and the need for removal of the specific tumor, polyp, or lesion
• Description of the snare technique used
• Date and time of the procedure
• Details of the procedure, including any complications or additional interventions
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT 46611, ensure that the procedure meets the specific criteria outlined in the code description. It is important to accurately document and code the removal of a single tumor, polyp, or lesion using a snare technique during an anoscopy procedure. Be aware of any additional guidelines or modifiers that may be required for proper billing.

8. Historical information

CPT 46611 was added to the Current Procedural Terminology system on January 1, 1994. There have been no updates or changes to the code since its addition.

9. Examples

1. A provider performs an anoscopy procedure and removes a single polyp using a snare technique.
2. During an anoscopy, a provider identifies and removes a single tumor using a snare technique.
3. A patient undergoes an anoscopy procedure, and the provider successfully removes a single lesion using a snare technique.
4. Using a snare technique, a provider removes a single polyp during an anoscopy procedure.
5. During an anoscopy, a provider performs a snare technique to remove a single tumor from the anus.
6. A patient undergoes an anoscopy procedure, and the provider removes a single lesion using a snare technique.
7. A provider performs an anoscopy and successfully removes a single polyp using a snare technique.
8. During an anoscopy procedure, a provider identifies and removes a single tumor using a snare technique.
9. A patient undergoes an anoscopy, and the provider removes a single lesion using a snare technique.
10. Using a snare technique, a provider removes a single polyp during an anoscopy procedure.