CPT^® 46505, Under Introduction Procedures on the Anus

The Current Procedural Terminology (CPT^®) code 46505 as maintained by American Medical Association, is a medical procedural code under the range - Introduction Procedures on the Anus.

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Summary

The provider performs chemodenervation, a procedure in which he injects a substance into the anal sphincter, a muscular ring surrounding the tip of the anus. This substance interrupts the signal that the nerve normally sends and stops a muscle spasm in the sphincter.

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CPT 46505

Has anyone had any luck getting paid for CPT 46505 from HNJH? Doctor provides this procedure for chronic constipation with Hirschsprung's disease? HNJH continues to deny for "THIS SERVICE IS NOT PAID... [ Read More ]

colorectal surgeons/CPT codes

[QUOTE="gared111, post: 9799, member: 18419"] All practices are different but at the ASC I worked for these are the codes we billed the majority of the time for the 2 colorectal surgeons... 45378-453... [ Read More ]

EUA with botox

When submitting a claim will these 2 codes need a modifier attached for commercial insurance? 45990 and 46505... [ Read More ]

Separately identifiable E/M nlbarnes

Hello - I've posted a couple of questions regarding "separately identifiable E/M" codes but I have a specific example where the physician has submitted charges 99212-25, 46505, & J0585. The patient w... [ Read More ]

Botox Injection for Anal Fissure. Confused

[QUOTE="mitchellde, post: 261011, member: 30657"]clearly from the code descriptor the 64640 is not correct for anal fissure , that code descriptor is for peripheral nerve or branch, this is not the sa... [ Read More ]

Botox Injection for Anal Fissure. Confused

[QUOTE="DFFernandez, post: 261005, member: 38240"]I used to use 64640 for botox injections along with EGD and we would get paid, but that was years ago. Since the EGD w/ inj CPT code was made I dont ... [ Read More ]

Botox Injection for Anal Fissure. Confused

clearly from the code descriptor the 64640 is not correct for anal fissure , that code descriptor is for peripheral nerve or branch, this is not the same as anal fissure. I go with the 46505, the oth... [ Read More ]

Botox Injection for Anal Fissure. Confused

I used to use 64640 for botox injections along with EGD for gastroparesis but this is clearly the wrong end...lol and we would get paid, but that was years ago. Since the EGD w/ inj CPT code was made... [ Read More ]

Botox Injection for Anal Fissure. Confused

We have a new doctor who does botox injections for anal fissure. She use the code 64640. She said she has been using it from previous billing & got paid. But the only code I know for botox injections ... [ Read More ]

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