How To Use CPT Code 46922

CPT 46922 describes the surgical excision of anal lesions, such as condyloma, papilloma, molluscum contagiosum, or herpetic vesicle. 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 46922?

CPT 46922 is used to describe the surgical excision of anal lesions, including condyloma, papilloma, molluscum contagiosum, or herpetic vesicle. This code is used when a healthcare provider removes these lesions via surgical excision.

2. Official Description

The official description of CPT code 46922 is: ‘Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision.’

3. Procedure

1. The healthcare provider prepares the patient and administers anesthesia.
2. The provider identifies the anal lesion(s) that need to be removed.
3. Using a sharp spoon curette or scissors, the provider surgically excises the lesion(s).
4. The provider controls any bleeding and closes the incision.
5. If there are multiple lesions, the provider repeats the procedure for each one.

4. Qualifying circumstances

CPT 46922 is used for patients who have anal lesions, such as condyloma, papilloma, molluscum contagiosum, or herpetic vesicle, that require surgical excision. The procedure must be performed by a healthcare provider and meet the specific criteria outlined in the code description.

5. When to use CPT code 46922

CPT code 46922 should be used when a healthcare provider performs surgical excision of anal lesions, such as condyloma, papilloma, molluscum contagiosum, or herpetic vesicle. 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 46922, the healthcare provider must document the following information:

• Patient’s diagnosis and the need for surgical excision
• Specific details of the procedure, including the instruments used
• Date of the procedure
• Any complications or additional procedures performed
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT 46922, ensure that the procedure meets the specific criteria outlined in the code description. It is important to follow the appropriate coding guidelines and modifiers, if applicable. Be aware of any bundling or unbundling issues and ensure accurate documentation to support the claim.

8. Historical information

CPT 46922 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates to the code since its addition.

9. Examples

1. A healthcare provider surgically excising a condyloma from a patient’s anus.
2. A patient undergoing surgical excision of a papilloma on their perianal tissue.
3. A healthcare provider removing molluscum contagiosum lesions via surgical excision.
4. A patient with a herpetic vesicle undergoing surgical excision of the lesion.
5. A healthcare provider performing surgical excision of multiple anal lesions, including condyloma, papilloma, molluscum contagiosum, and herpetic vesicle.
6. A patient with anal condyloma undergoing surgical excision of the lesion.
7. A healthcare provider surgically removing a papilloma from a patient’s anus.
8. A patient with molluscum contagiosum lesions undergoing surgical excision of the lesions.
9. A healthcare provider performing surgical excision of a herpetic vesicle on a patient’s perianal tissue.
10. A patient with multiple anal lesions, including condyloma, papilloma, molluscum contagiosum, and herpetic vesicle, undergoing surgical excision of each lesion.