46614 Anoscopy control bleeding
Also known as: anoscopic hemostasis, bleeding control, anoscopic cautery
Anoscopy with control of bleeding. The anoscope is used to visualize the anal canal and treat bleeding lesions using injection, cautery, or suturing.
In Plain Language
stopping bleeding inside the anus with a scope; treating bleeding using an anoscope
Clinical Context
Performed for active anal canal bleeding from hemorrhoids, ulcers, or other vascular lesions. May use injection, cautery, or banding.
RVU Breakdown
| Work RVU | 0.98 |
| Total RVU | 0.98 |
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 0.98, this code ranks in the 4th percentile among Surgery codes — 8.2x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 46614?
CPT 46614 (Anoscopy control bleeding) is a Surgery code. Anoscopy with control of bleeding. The anoscope is used to visualize the anal canal and treat bleeding lesions using injection, cautery, or suturing.
What is the wRVU value for CPT 46614?
The work RVU for CPT 46614 is 0.98. This code is primarily used by Colorectal Surgery, Gastroenterology.
When is CPT 46614 used?
Performed for active anal canal bleeding from hemorrhoids, ulcers, or other vascular lesions. May use injection, cautery, or banding.
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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.