CPT^® 46614, Under Endoscopy Procedures on the Anus

The Current Procedural Terminology (CPT^®) code 46614 as maintained by American Medical Association, is a medical procedural code under the range - Endoscopy Procedures on the Anus.

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Summary

In this procedure, the provider performs an anoscopy, or an examination using a small, rigid, tubular instrument called an anoscope. He identifies and controls bleeding using an injection, bipolar or unipolar cautery, a laser, heat probe, stapler, or plasma coagulator.

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Cauterization of rectal bleeding under anesthesia

~ and so, it's above the dentate line ......, 46614 is more appropriate versus the 45990. Just a reminder , I'm sure you already know, whenever there is a control of bleeding , your dx should be with... [ Read More ]

Cauterization of rectal bleeding under anesthesia

If a provider performs an anoscopy under anesthesia with cauterization of rectal bleeding, would that be billed with 45990 or 46614?... [ Read More ]

Help with rectal surgery - exam under anesthesia

[QUOTE="CodingKing, post: 385823, member: 323638"]Maybe 46614 Anoscopy w/ control of bleeding?[/QUOTE] I am sorry - I just added the rest of the surgery that I have in question. The patient had an E... [ Read More ]

Help with rectal surgery - exam under anesthesia

Maybe 46614 Anoscopy w/ control of bleeding?... [ Read More ]

ligation bleeder post excision rectal polyp

I recently had the exact same situation and we used cpt code 46614 for anoscopyw/control of bleeding.... [ Read More ]

Return to hospital after procedure

We did submit 46614 with a 78 modifier but Medicare does not want to pay for 5/16/13 and 5/17/13 observation follow up visits. Would these be bundled in with cpt code 46614? I did not see where this ... [ Read More ]

Return to hospital after procedure

I would think the problem is with the 46930 which has a 90 day global. Did you try submitting 46614 with a 78 modifier ? This would indicate to medicare that it was an Unplanned Return to the Opera... [ Read More ]

Return to hospital after procedure

A patient presented to our hospital for a procedure (46614, anoscopy w/ control of bleeding) on 5/15/13. This was an unplanned return to the operating room from procedure that was previously done on 5... [ Read More ]

Repair of internal operative wound anorectal canal

Thank you for your comment. The physician did perform an anoscopy to diagnosis the condition. I feel the 10000 codes aren't applicable as this was in the anorectal canal versus skin. I think I am goin... [ Read More ]

Repair of internal operative wound anorectal canal

what about code 13160 secondary closure or 12020 or 12021 - If the physician performed anal exam by scope then controlled bleeding code 46614 - otherwise you would need to use an unlisted code - Good ... [ Read More ]

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