46607 Diagnostic anoscopy & biopsy
Also known as: anoscopy with biopsies, anoscopic biopsy, multiple anal biopsies
Diagnostic anoscopy with multiple biopsies. The anoscope is used to visualize the anal canal and obtain multiple tissue samples.
In Plain Language
examining the anus and taking multiple tissue samples; scope exam with multiple biopsies
Clinical Context
Performed when multiple areas require biopsy sampling, such as extensive dysplasia or inflammatory disease affecting multiple locations.
RVU Breakdown
| Work RVU | 2.15 |
| Total RVU | 2.15 |
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 2.15, this code ranks in the 15th percentile among Surgery codes — 3.7x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 46607?
CPT 46607 (Diagnostic anoscopy & biopsy) is a Surgery code. Diagnostic anoscopy with multiple biopsies. The anoscope is used to visualize the anal canal and obtain multiple tissue samples.
What is the wRVU value for CPT 46607?
The work RVU for CPT 46607 is 2.15. This code is primarily used by Colorectal Surgery, Gastroenterology.
When is CPT 46607 used?
Performed when multiple areas require biopsy sampling, such as extensive dysplasia or inflammatory disease affecting multiple locations.
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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.