How To Use CPT Code 46707

CPT 46707 describes the repair of an anorectal fistula using a plug, such as porcine small intestine submucosa (SIS). 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 46707?

CPT 46707 can be used to describe the repair of an anorectal fistula using a plug, specifically porcine small intestine submucosa (SIS). This code is used when a healthcare provider closes the abnormal opening between the anus and rectum, which may be caused by previous abdominal surgery, trauma, infection, or other conditions.

2. Official Description

The official description of CPT code 46707 is: ‘Repair of anorectal fistula with plug (eg, porcine small intestine submucosa [SIS]).’

3. Procedure

1. The healthcare provider prepares and anesthetizes the patient, placing them in a lithotomy position on the procedure table.
2. The provider performs a digital rectal exam and may use anoscopy or sigmoidoscopy to verify landmarks and locate the anorectal fistula.
3. The fistula is irrigated, and a plug made of porcine small intestine submucosa (SIS) or another suitable material is inserted into the opening.
4. The plug is fixed in place at both ends using staples, sutures, or tissue glue.

4. Qualifying circumstances

CPT 46707 is used for patients with an anorectal fistula, which is an abnormal opening between the anus and rectum. This condition can be caused by previous abdominal surgery, trauma, infection, or other factors. The use of a plug, such as porcine small intestine submucosa (SIS), is a qualifying circumstance for this code.

5. When to use CPT code 46707

CPT code 46707 should be used when a healthcare provider performs a repair of an anorectal fistula using a plug, such as porcine small intestine submucosa (SIS). This code is specific to the procedure described and should not be used for other types of repairs or treatments.

6. Documentation requirements

To support a claim for CPT 46707, the healthcare provider must document the following information:

• Patient’s diagnosis of anorectal fistula
• Details of the procedure, including the use of a plug (eg, porcine small intestine submucosa [SIS])
• Date of the procedure
• Any additional relevant information, such as the use of staples, sutures, or tissue glue
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT 46707, ensure that the procedure performed is a repair of an anorectal fistula using a plug, such as porcine small intestine submucosa (SIS). Follow the appropriate coding guidelines and documentation requirements. There are no specific guidelines regarding reporting CPT 46707 with other codes.

8. Historical information

CPT 46707 was added to the Current Procedural Terminology system on January 1, 2010. There have been no updates to the code since its addition.

9. Examples

1. A healthcare provider repairs an anorectal fistula using a porcine small intestine submucosa (SIS) plug.
2. A patient undergoes a procedure to close an abnormal opening between the anus and rectum with the use of a plug made of porcine small intestine submucosa (SIS).
3. A healthcare provider fixes a plug, specifically porcine small intestine submucosa (SIS), in place to repair an anorectal fistula.
4. A patient receives a repair of an anorectal fistula using a plug, such as porcine small intestine submucosa (SIS).
5. A healthcare provider performs a procedure to close an abnormal opening between the anus and rectum, utilizing a plug made of porcine small intestine submucosa (SIS).
6. A patient undergoes a repair of an anorectal fistula with the use of a plug, specifically porcine small intestine submucosa (SIS).
7. A healthcare provider uses a plug, such as porcine small intestine submucosa (SIS), to repair an anorectal fistula.
8. A patient receives a procedure to close an abnormal opening between the anus and rectum, with the use of a plug made of porcine small intestine submucosa (SIS).
9. A healthcare provider fixes a plug, specifically porcine small intestine submucosa (SIS), in place to repair an anorectal fistula.
10. A patient undergoes a repair of an anorectal fistula using a plug, such as porcine small intestine submucosa (SIS).