46606 Anoscopy and biopsy
Also known as: anoscopy with biopsy, anoscopic biopsy, anal biopsy
Anoscopy with biopsy of anal canal lesions. The anoscope is used to visualize and obtain tissue samples for pathologic examination.
In Plain Language
examining the anus and taking a tissue sample; scope examination with small tissue removal
Clinical Context
Performed to diagnose anal neoplasia, inflammatory disease, or infections. Biopsy results guide treatment decisions.
RVU Breakdown
| Work RVU | 1.17 |
| Total RVU | 1.17 |
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 1.17, this code ranks in the 6th percentile among Surgery codes — 6.8x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 46606?
CPT 46606 (Anoscopy and biopsy) is a Surgery code. Anoscopy with biopsy of anal canal lesions. The anoscope is used to visualize and obtain tissue samples for pathologic examination.
What is the wRVU value for CPT 46606?
The work RVU for CPT 46606 is 1.17. This code is primarily used by Colorectal Surgery, Gastroenterology.
When is CPT 46606 used?
Performed to diagnose anal neoplasia, inflammatory disease, or infections. Biopsy results guide treatment decisions.
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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.