46600 Diagnostic anoscopy spx
Also known as: diagnostic anoscopy, anoscopic exam, anal canal inspection
Diagnostic anoscopy with spectroscopy for specialized visualization. Anoscope is inserted to visualize the anal canal with additional spectroscopic analysis.
In Plain Language
looking inside the anal canal with a scope; examination of the anus with a viewing tube
Clinical Context
Performed to diagnose anal canal pathology including fissures, hemorrhoids, polyps, and inflammatory conditions. Often done in office setting.
RVU Breakdown
| Work RVU | 0.54 |
| Total RVU | 0.54 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 0-day global period, meaning pre- and post-operative E&M visits are billable separately on the same day. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 0.54, this code ranks in the 1st percentile among Surgery codes — 14.8x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 46600?
CPT 46600 (Diagnostic anoscopy spx) is a Surgery code. Diagnostic anoscopy with spectroscopy for specialized visualization. Anoscope is inserted to visualize the anal canal with additional spectroscopic analysis.
What is the wRVU value for CPT 46600?
The work RVU for CPT 46600 is 0.54. This code is primarily used by Colorectal Surgery, Gastroenterology.
When is CPT 46600 used?
Performed to diagnose anal canal pathology including fissures, hemorrhoids, polyps, and inflammatory conditions. Often done in office setting.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.