Dr. Mathew Isho, MD

CPT Codes:

• 45378: Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)
• 45385: Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique
• 45380: Colonoscopy, flexible; with biopsy, single or multiple

CPT Codes:

• 46221: Hemorrhoidectomy, internal, by rubber band ligation(s)
• 46948: Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including ultrasound guidance, with mucopexy, when performed
• 46946: Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging guidance
• 46945: Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid column/group, without imaging guidance

CPT Codes:

• 46275: Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric
• 46280: Surgical treatment of anal fistula (fistulectomy/fistulotomy); transsphincteric, suprasphincteric, extrasphincteric or multiple, including placement of seton, when performed
• 46220: Excision of single external papilla or tag, anus
• 46270: Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous

CPT Codes:

• 46260: Hemorrhoidectomy, internal and external, 2 or more columns/groups;

CPT Codes:

• 45330: Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)

CPT Codes:

• 49505: Repair initial inguinal hernia, age 5 years or older; reducible
• 49591: Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); less than 3 cm, reducible
• 49593: Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, reducible

CPT Codes:

• 46020: Placement of seton

CPT Codes:

• 46924: Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery)

CPT Codes:

• 45171: Excision of rectal tumor, transanal approach; not including muscularis propria (ie, partial thickness)
• 46700: Anoplasty, plastic operation for stricture; adult

CPT Codes:

• 46922: Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision

CPT Codes:

• 46255: Hemorrhoidectomy, internal and external, single column/group;

CPT Codes:

• 45990: Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic

CPT Codes:

• 46200: Fissurectomy, including sphincterotomy, when performed

CPT Codes:

• 45100: Biopsy of anorectal wall, anal approach (eg, congenital megacolon)

CPT Codes:

• 45331: Sigmoidoscopy, flexible; with biopsy, single or multiple

CPT Codes:

• 46040: Incision and drainage of ischiorectal and/or perirectal abscess (separate procedure)