46615 Anoscopy
Also known as: anoscopic ablation, anoscopic destruction, anoscopic cautery
Anoscopy with ablation procedure. The anoscope is used to visualize the anal canal and perform ablation (destruction) of tissue using thermal or chemical methods.
In Plain Language
burning or destroying tissue inside the anus; ablation of anal canal lesions
Clinical Context
Performed for dysplasia, HPV-related lesions, or bleeding lesions in the anal canal. Uses radiofrequency, laser, or other ablative techniques.
RVU Breakdown
| Work RVU | 1.46 |
| Total RVU | 1.46 |
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 1.46, this code ranks in the 9th percentile among Surgery codes — 5.5x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 46615?
CPT 46615 (Anoscopy) is a Surgery code. Anoscopy with ablation procedure. The anoscope is used to visualize the anal canal and perform ablation (destruction) of tissue using thermal or chemical methods.
What is the wRVU value for CPT 46615?
The work RVU for CPT 46615 is 1.46. This code is primarily used by Colorectal Surgery.
When is CPT 46615 used?
Performed for dysplasia, HPV-related lesions, or bleeding lesions in the anal canal. Uses radiofrequency, laser, or other ablative techniques.
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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.