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SJH Procedures SJH Procedures - Colorectal Service New Name Old Name CPT Code Service ABLATION, LESION, ANUS, USING ARGON LASER LASER ABLATION ANAL LESION W ARGON LASER AND ANESTHESIA 46917 Destruction of lesion(s), anus (eg, condyloma, papilloma, Colorectal molluscum contagiosum, herpetic vesicle), simple; laser surgery 46924 Destruction of lesion(s), anus (eg, condyloma, papilloma, Colorectal molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) ABLATION, LESION, PERIRECTAL, USING CO2 LASER LASER VAPORIZATION RECTAL/PERIRECTAL AREA W CO2 LASER 45190 Destruction of rectal tumor (eg, electrodesiccation, General, Colorectal electrosurgery, laser ablation, laser resection, cryosurgery) transanal approach ADVANCEMENT, FLAP, ENDORECTAL FLAP ENDORECTAL ADVANCEMENT 46288 Closure of anal fistula with rectal advancement flap Colorectal, General ANOSCOPY ANOSCOPY 0377T Anoscopy with directed submucosal injection of bulking agent Gastroenterology, Colorectal for fecal incontinence 46600 Anoscopy; diagnostic, including collection of specimen(s) by Gastroenterology, Colorectal brushing or washing, when performed (separate procedure) 46601 Anoscopy; diagnostic, with high-resolution magnification (HRA) Gastroenterology, Colorectal (eg, colposcope, operating microscope) and chemical agent enhancement, including collection of specimen(s) by brushing or washing, when performed 46604 Anoscopy; with dilation (eg, balloon, guide wire, bougie) Gastroenterology, Colorectal 46606 Anoscopy; with biopsy, single or multiple Gastroenterology, Colorectal 46607 Anoscopy; with high-resolution magnification (HRA) (eg, Gastroenterology, Colorectal colposcope, operating microscope) and chemical agent enhancement, with biopsy, single or multiple 46608 Anoscopy; with removal of foreign body Gastroenterology, Colorectal 46610 Anoscopy; with removal of single tumor, polyp, or other lesion Gastroenterology, Colorectal by hot biopsy forceps or bipolar cautery 46611 Anoscopy; with removal of single tumor, polyp, or other lesion Gastroenterology, Colorectal by snare technique 46612 Anoscopy; with removal of multiple tumors, polyps, or other Gastroenterology, Colorectal lesions by hot biopsy forceps, bipolar cautery or snare technique 46614 Anoscopy; with control of bleeding (eg, injection, bipolar Gastroenterology, Colorectal cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator) 46615 Anoscopy; with ablation of tumor(s), polyp(s), or other Gastroenterology, Colorectal lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique ANOSCOPY, HIGH RESOLUTION, WITH BIOPSY ANOSCOPY RESOLUTION W ANAL BIOPSY 46607 Anoscopy; with high-resolution magnification (HRA) (eg, Colorectal colposcope, operating microscope) and chemical agent enhancement, with biopsy, single or multiple BIOPSY OR EXCISION, LESION, FACE AND NECK, USING CO2 LASER EXCISE/BIOPSY(MASS/LESION/LIPOMA/CYST) FACE/NECK W CO2 LASER 11102 Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); General, Aesthetics, single lesion Cardiovascular, Colorectal, ENT, Maxillofacial, Plastics, Orthopedics, Spine, Thoracic, Urology, Vascular Page 1 of 24 * Indicates Inpatient only CPT Code/Procedure SJH Procedures - Colorectal Service New Name Old Name CPT Code Service BIOPSY OR EXCISION, LESION, FACE AND NECK, USING CO2 LASER EXCISE/BIOPSY(MASS/LESION/LIPOMA/CYST) FACE/NECK W CO2 LASER 11104 Punch biopsy of skin (including simple closure, when General, Aesthetics, performed); single lesion Cardiovascular, Colorectal, ENT, Maxillofacial, Plastics, Orthopedics, Spine, Thoracic, Urology, Vascular 11106 Incisional biopsy of skin (eg, wedge) (including simple closure, General, Aesthetics, when performed); single lesion Cardiovascular, Colorectal, ENT, Maxillofacial, Plastics, Orthopedics, Spine, Thoracic, Urology, Vascular 17000 Destruction (eg, laser surgery, electrosurgery, cryosurgery, General, Aesthetics, chemosurgery, surgical curettement), premalignant lesions (eg, Cardiovascular, Colorectal, actinic keratoses); first lesion ENT, Maxillofacial, Plastics, Orthopedics, Spine, Thoracic, Urology, Vascular BIOPSY OR EXCISION, LESION, LOWER BODY EXCISE/BIOPSY (MASS/LESION/LIPOMA/CYST) LOWER BODY General, Gynecology, Orthopedics, Plastics, Urology, Neurosurgery, Aesthetics, Colorectal, Spine, Vascular, Podiatry BIOPSY OR EXCISION, LESION, LOWER BODY, 2 OR MORE EXCISE/BIOPSY (MASS/LESION/LIPOMA/CYST) MULTIPLE LOWER BODY 11102 Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); General, Gynecology, single lesion Orthopedics, Plastics, Urology, Aesthetics, Vascular, Maxillofacial, Thoracic, Cardiovascular, ENT, Colorectal, Podiatry 11103 Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); General, Gynecology, each separate/additional lesion (list separately in addition to Orthopedics, Plastics, Urology, code for primary procedure) Aesthetics, Vascular, Maxillofacial, Thoracic, Cardiovascular, ENT, Colorectal, Podiatry 11104 Punch biopsy of skin (including simple closure, when General, Gynecology, performed); single lesion Orthopedics, Plastics, Urology, Aesthetics, Vascular, Maxillofacial, Thoracic, Cardiovascular, ENT, Colorectal, Podiatry 11105 Punch biopsy of skin (including simple closure, when General, Gynecology, performed); each separate/additional lesion (list separately in Orthopedics, Plastics, Urology, addition to code for primary procedure) Aesthetics, Vascular, Maxillofacial, Thoracic, Cardiovascular, ENT, Colorectal, Podiatry 11106 Incisional biopsy of skin (eg, wedge) (including simple closure, General, Gynecology, when performed); single lesion Orthopedics, Plastics, Urology, Aesthetics, Vascular, Maxillofacial, Thoracic, Cardiovascular, ENT, Colorectal, Podiatry Page 2 of 24 * Indicates Inpatient only CPT Code/Procedure SJH Procedures - Colorectal Service New Name Old Name CPT Code Service BIOPSY OR EXCISION, LESION, LOWER BODY, 2 OR MORE EXCISE/BIOPSY (MASS/LESION/LIPOMA/CYST) MULTIPLE LOWER BODY 11107 Incisional biopsy of skin (eg, wedge) (including simple closure, General, Gynecology, when performed); each separate/additional lesion (list Orthopedics, Plastics, Urology, separately in addition to code for primary procedure) Aesthetics, Vascular, Maxillofacial, Thoracic, Cardiovascular, ENT, Colorectal, Podiatry BIOPSY OR EXCISION, LESION, UPPER BODY, 2 OR MORE EXCISE/BIOPSY (MASS/LESION/LIPOMA/CYST) MULTIPLE UPPER BODY 11102 Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); General, Gynecology, single lesion Orthopedics, Plastics, Aesthetics, Cardiac/Thoracic Robotics, Cardiovascular, Colorectal, ENT, Maxillofacial, Spine, Vascular 11103 Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); General, Gynecology, each separate/additional lesion (list separately in addition to Orthopedics, Plastics, code for primary procedure) Aesthetics, Cardiac/Thoracic Robotics, Cardiovascular, Colorectal, ENT, Maxillofacial, Spine, Vascular 11104 Punch biopsy of skin (including simple closure, when General, Gynecology, performed); single lesion Orthopedics, Plastics, Aesthetics, Cardiac/Thoracic Robotics, Cardiovascular, Colorectal, ENT, Maxillofacial, Spine, Vascular 11105 Punch biopsy of skin (including simple closure, when General, Gynecology, performed); each separate/additional lesion (list separately in Orthopedics, Plastics, addition to code for primary procedure) Aesthetics, Cardiac/Thoracic Robotics, Cardiovascular, Colorectal, ENT, Maxillofacial, Spine, Vascular 11106 Incisional biopsy of skin (eg, wedge) (including simple closure, General, Gynecology, when performed); single lesion Orthopedics, Plastics, Aesthetics, Cardiac/Thoracic Robotics, Cardiovascular, Colorectal, ENT, Maxillofacial, Spine, Vascular 11107 Incisional biopsy of skin (eg, wedge) (including simple closure, General, Gynecology, when performed); each separate/additional lesion (list Orthopedics, Plastics, separately in addition to code for primary procedure) Aesthetics, Cardiac/Thoracic Robotics, Cardiovascular, Colorectal, ENT, Maxillofacial, Spine, Vascular BIOPSY OR EXCISION, LESION, UPPER BODY, USING CO2 LASER EXCISE/BIOPSY (MASS/LESION/LIPOMA/CYST) UPPER BODY W CO2 11102 Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); General, Aesthetics, single lesion Cardiac/Thoracic Robotics, Cardiovascular, Colorectal, ENT, Maxillofacial, Spine, Orthopedics, Plastics Page 3 of 24 * Indicates Inpatient only CPT Code/Procedure SJH Procedures - Colorectal Service New Name Old Name CPT Code Service BIOPSY OR EXCISION, LESION, UPPER BODY, USING CO2 LASER EXCISE/BIOPSY (MASS/LESION/LIPOMA/CYST) UPPER BODY W CO2 11104 Punch biopsy of skin (including simple closure, when General, Aesthetics, performed); single lesion Cardiac/Thoracic Robotics, Cardiovascular, Colorectal, ENT, Maxillofacial, Spine, Orthopedics, Plastics 11106 Incisional biopsy of skin (eg, wedge) (including simple closure, General, Aesthetics, when performed); single lesion Cardiac/Thoracic Robotics, Cardiovascular, Colorectal, ENT, Maxillofacial, Spine, Orthopedics, Plastics 17000 Destruction (eg, laser surgery, electrosurgery, cryosurgery, General, Aesthetics, chemosurgery, surgical curettement), premalignant lesions (eg, Cardiac/Thoracic Robotics, actinic keratoses); first lesion Cardiovascular, Colorectal, ENT, Maxillofacial, Spine, Orthopedics, Plastics BIOPSY, RECTUM BIOPSY RECTAL 45100 Biopsy of anorectal wall, anal approach (eg, congenital Colorectal, General megacolon) 45305 Proctosigmoidoscopy, rigid; with
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