CODE DESCRIPTION Procedure Category Defined Case Category 46288 Fistula, advancement flap repair, skin or mucosal Anorectal Procedures Endorectal Advancement Flap Fistulotomy, fistula repair 46020 Fistula, seton placement only Anorectal Procedures Fistulotomy, fistula repair 46030 Fistula, seton/drain removal Anorectal Procedures Fistulotomy, fistula repair 46045 Fistulotomy, LIFT Anorectal Procedures Fistulotomy, fistula repair 46280 Fistulotomy, primary, secondary, + seton, NOS Anorectal Procedures Fistulotomy, fistula repair 46706 Fistula, repair, fibrin glue Anorectal Procedures Fistulotomy, fistula repair 46707 Fistula, repair, plug Anorectal Procedures Fistulotomy, fistula repair 46710 Fistula, repair, ileoanal anastomosis, perineal any Anorectal Procedures Fistulotomy, fistula repair 46712 Fistula, repair, ileoanal anastomosis, abdomino-perineal Anorectal Procedures Fistulotomy, fistula repair 57300 Fistula, rectovaginal repair, transanal or transvaginal Anorectal Procedures Fistulotomy, fistula repair 57305 Fistula, rectovaginal repair, abdominal Anorectal Procedures Fistulotomy, fistula repair 57307 Fistula, rectovaginal repair, abdominal, ostomy Anorectal Procedures Fistulotomy, fistula repair 46221 Hemorrhoids, internal, rubberband ligation RBL Anorectal Procedures Hemorrhoidectomy-excisional any kind, PPH 46250 Hemorrhoidectomy, external, simple Anorectal Procedures Hemorrhoidectomy-excisional any kind, PPH 46260 Hemorrhoidectomy, internal Anorectal Procedures Hemorrhoidectomy-excisional any kind, PPH 46320 Hemorrhoidectomy, external, thrombosed Anorectal Procedures Hemorrhoidectomy-excisional any kind, PPH 46500 Hemorrhoids, injection sclerosing Anorectal Procedures Hemorrhoidectomy-excisional any kind, PPH 46930 Hemorrhoids, internal, thermal, includes IRC, cautery, bicap Anorectal Procedures Hemorrhoidectomy-excisional any kind, PPH 46945 Hemorrhoids, internal, suture ligation, includes doppler guided Anorectal Procedures Hemorrhoidectomy-excisional any kind, PPH 46947 Hemorrhoidopexy, stapled, includes PPH Anorectal Procedures Hemorrhoidectomy-excisional any kind, PPH 46080 Fissure, sphincterotomy Anorectal Procedures Internal Sphincterotomy 46505 Fissure/spasm, sphincter chemodenervation injection (botox) Anorectal Procedures Internal Sphincterotomy 46940 Fissure, cautery/curett/dilate Anorectal Procedures Internal Sphincterotomy 45130 Rectal prolapse, perineal excision (Altmeier) Anorectal Procedures Prolapse repair - perineal 45505 Rectal prolapse, mucosal, proctoplasty (ectropion, Delorme) Anorectal Procedures Prolapse repair - perineal 45520 Perirectal injection of sclerosing solution for prolapse Anorectal Procedures Prolapse repair - perineal 46750 Sphincter repair, sphincteroplasty Anorectal Procedures Sphincteroplasty 46753 Sphincter repair, Thiersch loop Anorectal Procedures Sphincteroplasty 46754 Sphincter repair, Thiersch removal Anorectal Procedures Sphincteroplasty 46760 Sphincter repair, muscle transfer/gracilis or gluteal Anorectal Procedures Sphincteroplasty 46761 Sphincter repair, muscle imbrication/plication including Parks Anorectal Procedures Sphincteroplasty 46762 Sphincter repair, artificial sphincter Anorectal Procedures Sphincteroplasty 51715 Injection of implant material for incontinence Anorectal Procedures Sphincteroplasty 64581 Insertion of sacral nerve stimulator Anorectal Procedures Sphincteroplasty 45116 Proctectomy, partial, parasacral (Kraske or York-Mason approach) Anorectal Procedures Transanal excision 45123 Proctectomy with anal excision, partial, without anastomosis, perineal approach Anorectal Procedures Transanal excision 45160 Parasacral excision of rectal tumor (Kraske or York-Mason approach) Anorectal Procedures Transanal excision 45170 Excision of rectal tumor, transanal approach Anorectal Procedures Transanal excision CODE DESCRIPTION Procedure Category Defined Case Category 45190 Destruction of rectal tumor, transanal (cautery, laser ablation, cryo) Anorectal Procedures Transanal excision 0184T TEM - Transanal Endoscopic Microsurgery Anorectal Procedures Transanal excision 10060 Hidradenitis/other skin infection, I&D Anorectal Procedures 10080 Pilonidal ds, I&D, any Anorectal Procedures 10180 Wound infection I&D Anorectal Procedures 11000 Skin biopsy Anorectal Procedures 11006 Necrotizing fasciitis, debridement Anorectal Procedures 11042 Wound debridement +/- VAC Anorectal Procedures 11470 Hidradenitis/skin, perianal, unroofing/excision Anorectal Procedures 11770 Pilonidal ds, excision/unroofing - open or closed Anorectal Procedures 14040 Flap closure of large perineal defect, includes skin flaps (V-Y or S flaps) and Anorectal Procedures myocutaneous flaps (gracilis, TRAM/VRAM) 45100 Anorectal biopsy, transanal Anorectal Procedures 45108 Anorectal myomectomy Anorectal Procedures 45150 Stricture, rectum, division Anorectal Procedures 45500 Stricture, rectal, proctoplasty Anorectal Procedures 45505 Proctoplasty; for prolapse of mucous membrane Anorectal Procedures 45560 Rectocele repair, any type Anorectal Procedures 45562 Rectal trauma, repair, drainage Anorectal Procedures 45563 Rectal trauma, repair, drainage, colostomy Anorectal Procedures 45900 Reduction of procidentia (separate procedure) under anesthesia Anorectal Procedures 45905 Dilation of anal sphincter, under anesthesia Anorectal Procedures 45910 Stricture, anal or rectal, dilation or division Anorectal Procedures 45915 Anorectal impaction/FB removal Anorectal Procedures 45990 Anorectal EUA, no other procedure Anorectal Procedures 45999 Unlisted procedure, rectum Anorectal Procedures 46040 Abscess, I&D, perirectal, any type Anorectal Procedures 46200 Fissurectomy + flap Anorectal Procedures 46220 Papilla or tag, anal, excision Anorectal Procedures 46700 Stricture, anoplasty Anorectal Procedures 46730 Imperforate anus, perineal or sacral repair Anorectal Procedures 46740 Imperforate anus, abdominal or combined repair Anorectal Procedures 46744 Cloacal anomaly, perineal or sacral repair Anorectal Procedures 46746 Cloacal anomaly, abdominal or combined repair Anorectal Procedures 46900 Condyloma/other lesions, perianal, office treatment Anorectal Procedures 46924 Condyloma/other lesions, perianal, excision/cautery, under anesthesia Anorectal Procedures 46999 Unlisted procedure, anus Anorectal Procedures 49215 Presacral tumor excision Anorectal Procedures 11400 Excision/destruction benign skin lesion, trunk Anorectal Procedures CODE DESCRIPTION Procedure Category Defined Case Category 11420 Excision/destruction benign skin lesion, perineum or genitalia Anorectal Procedures 11600 Excision/destruction malignant skin lesion, trunk Anorectal Procedures 11620 Excision/destruction malignant skin lesion, perineum or genitalia Anorectal Procedures CODE DESCRIPTION Procedure Category Defined Case Category 45395 Proctectomy , APR, Colostomy, laparoscopic Abdominal procedures Abdominoperineal resection Stoma Laparoscopic resection Pelvic dissection 45110 Proctectomy , APR, Colostomy Abdominal procedures Abdominoperineal resection Stoma Pelvic dissection 45126 Pelvic exenteration Abdominal procedures Abdominoperineal resection Stoma Pelvic dissection 44202 Laparoscopic, small bowel resection, any type/number Abdominal procedures Laparoscopic resection 44207 Laparoscopic LAR Abdominal procedures Low anterior resection Laparoscopic resection Pelvic dissection 45397 Laparoscopic proctectomy, coloanal anastomosis - CAA, with colonic Abdominal procedures Low anterior resection pouch Laparoscopic resection Pelvic dissection 44208 Laparoscopic LAR, with stoma Abdominal procedures Low anterior resection Laparoscopic resection Stoma Pelvic dissection 44145 LAR, anastomosis Abdominal procedures Low anterior resection Pelvic dissection 44147 LAR, combined abdomino-perineal AP approach Abdominal procedures Low anterior resection Pelvic dissection 45111 Proctectomy, partial, abdominal Abdominal procedures Low anterior resection Pelvic dissection 45112 Proctectomy, coloanal anastomosis - CAA Abdominal procedures Low anterior resection Pelvic dissection 45114 Proctectomy, combined abdominal and trans-sacral approach Abdominal procedures Low anterior resection Pelvic dissection 45119 Proctectomy, coloanal anastomosis - CAA, with colonic pouch Abdominal procedures Low anterior resection Pelvic dissection 45120 Proctectomy, for congenital megacolon, abdomino-perineal AP approach Abdominal procedures Low anterior resection with pull-through (eg, Swenson, Duhamel, or Soave) Pelvic dissection CODE DESCRIPTION Procedure Category Defined Case Category 45120 Proctectomy, coloanal anastomosis - CAA, for Hirschsprung's disease, Abdominal procedures Low anterior resection any type Pelvic dissection 45121 Proctocolectomy, for congenital megacolon, including total colectomy with Abdominal procedures Low anterior resection pull-through (eg, Swenson, Duhamel, or Soave) Pelvic dissection 45820 Fistula, rectourethral repair, abdominal, without resection Abdominal procedures Low anterior resection Pelvic dissection 44146 LAR, anastomosis, stoma Abdominal procedures Low anterior resection Pelvic dissection Stoma 44157 TPC, IAA - ileo-anal anastomosis, straight Abdominal procedures Low anterior resection Pelvic dissection Stoma 45136 IPAA, excision, Ileostomy Abdominal procedures Low anterior resection Pelvic dissection Stoma 45825 Fistula, rectourethral repair, no resection, with stoma Abdominal procedures Low anterior resection Pelvic dissection Stoma 44211 Laparoscopic TPC, IPAA - ileal pouch-anal anastomosis Abdominal procedures Low anterior resection