46601 Diagnostic anoscopy
Also known as: diagnostic anoscopy, anoscopic exam, anal examination
Diagnostic anoscopy without additional procedures. Simple visualization of the anal canal using an anoscope to identify pathology.
In Plain Language
examining the anal canal with a scope; looking inside the anus
Clinical Context
Standard diagnostic procedure to visualize anal canal and assess for hemorrhoids, fissures, lesions, and other pathology.
RVU Breakdown
| Work RVU | 1.56 |
| Total RVU | 1.56 |
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 1.56, this code ranks in the 10th percentile among Surgery codes — 5.1x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 46601?
CPT 46601 (Diagnostic anoscopy) is a Surgery code. Diagnostic anoscopy without additional procedures. Simple visualization of the anal canal using an anoscope to identify pathology.
What is the wRVU value for CPT 46601?
The work RVU for CPT 46601 is 1.56. This code is primarily used by Colorectal Surgery, Gastroenterology.
When is CPT 46601 used?
Standard diagnostic procedure to visualize anal canal and assess for hemorrhoids, fissures, lesions, and other pathology.
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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.