CPT^® 46040, Under Incision Procedures on the Anus

The Current Procedural Terminology (CPT^®) code 46040 as maintained by American Medical Association, is a medical procedural code under the range - Incision Procedures on the Anus.

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Summary

In this procedure, the provider makes an incision around the anal canal to access the abscess and drains it by incising the abscess pockets present around the rectum and or area between rectum and pelvic bone called an ischiorectal pocket, or fossa.

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CPT Code help - incision and drainage of peri rectal abscess

[QUOTE="maebelle@gmail.com, post: 496003, member: 127661"] 46040? [/QUOTE] I started with that too but wasn't sure. Thank you for your reply... [ Read More ]

CPT Code help - incision and drainage of peri rectal abscess

[QUOTE="thomas7331, post: 496010, member: 5404"] 46040 is for a perirectal abscess, but the documentation posted says that is was in 'the perianal region', which would be 46050. Since the physician a... [ Read More ]

CPT Code help - incision and drainage of peri rectal abscess

46040 is for a perirectal abscess, but the documentation posted says that is was in 'the perianal region', which would be 46050. Since the physician also documents 'away from the external sphincters'... [ Read More ]

CPT Code help - incision and drainage of peri rectal abscess

46040?... [ Read More ]

Totally lost on this one

[QUOTE="cgaston, post: 449199, member: 19527"]rectal verge makes me think "perirectal" so I would look at 46040 or maybe 46060 since the drain runs though the rectum to the perineum it is more than su... [ Read More ]

Totally lost on this one

[QUOTE="HKOFOID, post: 449193, member: 70015"]Any CPT ideas on this one would be appreciated. My doctor is saying debridement of presacral and perineal wound, debridement of lower quadrant sinus tract... [ Read More ]

46600 & 46040

Hello - provider saw pt in office & charged an 99203-25,57 & 46600. Pt then went to surgery later that night to have an abscess drained - 46040. 46600 & 46040 are bundled. But what about the fact t... [ Read More ]

Repeat washout and placement of drain for complex perineal/scrotal abscess

Hi all, I'm trying to determine if this is correct. The patient underwent 46040 a few days ago and due to the complexity of the abscess, they brought the patient back to the OR to perform washout an... [ Read More ]

Question about Fistulotomy with seton palcement

Hello Coders, I have a question for the operative note below the cpt codes 46280, 46040, and 45300 per CCI edits these codes does not permit modifiers any suggestions would be greatly appreciated. T... [ Read More ]

I&D perirectal abscess and place seton

So from this he did do a fistulotomy but the codes he is trying to use aren't for a perirectal abscess and that is what he is documenting. These are very hard to tell exactly where and provider needs ... [ Read More ]

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