Wiki Perianal skin tag

codedog

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Doctor office says used code 11200 , ASC where i work says try cpt code 46220. Which one, if any would you choose/
here is the operative report

Operation
: Excision of perianal skin tag
Diagnosis : Perianal skin tag in anterior midline

Procedure : The patient was brought into operating room and placed on operating table in Prone -knife postion. The perianal region was prepped and draped in sterile fashion. The anus was gently dilated up to three fingers breadths. The Hill- Ferguson retractor was inserted into the anus. There was no pathlogy of distal anus circumferentially. The mucosa was pink and healthy. There was a skin tag in anterior midline. This was grasped after injecting the area with 5cc of 0.25 % Marcaine with epinephrine. An elliptical incision was used to excise the skin tag. Hemostasis was achieved with electrocautery. The skin was closed with running 3-0 Chromic suture. Sterile dressing was applied.
Please help, thanks
 
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