CODE DESCRIPTION Procedure Category Defined Case …

1 code DESCRIPTIONP rocedure CategoryDefined case Category46288 Fistula, advancement flap repair , skin or mucosalAnorectal ProceduresEndorectal Advancement FlapFistulotomy, fistula repair46020 Fistula, seton placement onlyAnorectal ProceduresFistulotomy, fistula repair46030 Fistula, seton/drain removalAnorectal ProceduresFistulotomy, fistula repair46045 Fistulotomy, LIFTA norectal ProceduresFistulotomy, fistula repair46280 Fistulotomy, primary, secondary, + seton, NOSA norectal ProceduresFistulotomy, fistula repair46706 Fistula, repair , fibrin glueAnorectal ProceduresFistulotomy, fistula repair46707 Fistula, repair , plugAnorectal ProceduresFistulotomy, fistula repair46710 Fistula, repair , ileoanal anastomosis, perineal anyAnorectal ProceduresFistulotomy, fistula repair46712 Fistula, repair , ileoanal anastomosis, abdomino-perinealAnorectal ProceduresFistulotomy, fistula repair57300 Fistula, rectovaginal repair , transanal or transvaginalAnorectal ProceduresFistulotomy, fistula repair57305 Fistula, rectovaginal repair , abdominalAnorectal ProceduresFistulotomy, fistula repair57307 Fistula, rectovaginal repair , abdominal, ostomy Anorectal ProceduresFistulotomy, fistula repair46221 Hemorrhoids, internal, rubberband ligation RBLA norectal ProceduresHemorrhoidectomy-excisional any kind, PPH46250 Hemorrhoidectomy, external, simpleAnorectal ProceduresHemorrhoidectomy-excisional any kind, PPH46260 Hemorrhoidectomy, internalAnorectal ProceduresHemorrhoidectomy-excisional any kind, PPH46320 Hemorrhoidectomy, external, thrombosedAnorectal ProceduresHemorrhoidectomy-excisional any kind, PPH46500 Hemorrhoids.

2 Injection sclerosingAnorectal ProceduresHemorrhoidectomy-excisional any kind, PPH46930 Hemorrhoids, internal, thermal, includes IRC, cautery, bicapAnorectal ProceduresHemorrhoidectomy-excisional any kind, PPH46945 Hemorrhoids, internal, suture ligation, includes doppler guidedAnorectal ProceduresHemorrhoidectomy-excisional any kind, PPH46947 Hemorrhoidopexy, stapled, includes PPHA norectal ProceduresHemorrhoidectomy-excisional any kind, PPH46080 Fissure, sphincterotomyAnorectal ProceduresInternal Sphincterotomy46505 Fissure/spasm, sphincter chemodenervation injection (botox)Anorectal ProceduresInternal Sphincterotomy46940 Fissure, cautery/curett/dilateAnorectal ProceduresInternal Sphincterotomy45130 Rectal prolapse, perineal excision (Altmeier)Anorectal ProceduresProlapse repair - perineal45505 Rectal prolapse, mucosal, proctoplasty (ectropion, Delorme)

3 Anorectal ProceduresProlapse repair - perineal45520 Perirectal injection of sclerosing solution for prolapseAnorectal ProceduresProlapse repair - perineal46750 Sphincter repair , sphincteroplastyAnorectal ProceduresSphincteroplasty46753 Sphincter repair , Thiersch loop Anorectal ProceduresSphincteroplasty46754 Sphincter repair , Thiersch removalAnorectal ProceduresSphincteroplasty46760 Sphincter repair , muscle transfer/gracilis or glutealAnorectal ProceduresSphincteroplasty46761 Sphincter repair , muscle imbrication/plication including ParksAnorectal ProceduresSphincteroplasty46762 Sphincter repair , artificial sphincter Anorectal ProceduresSphincteroplasty51715 Injection of implant material for incontinenceAnorectal ProceduresSphincteroplasty64581 Insertion of sacral nerve stimulatorAnorectal ProceduresSphincteroplasty45116 Proctectomy, partial, parasacral (Kraske or York-Mason approach)Anorectal ProceduresTransanal excision45123 Proctectomy with anal excision, partial, without anastomosis, perineal approachAnorectal ProceduresTransanal excision45160 Parasacral excision of rectal tumor (Kraske or York-Mason approach)Anorectal ProceduresTransanal excision45170 Excision of rectal tumor, transanal approachAnorectal ProceduresTransanal excisionCODE DESCRIPTIONP rocedure CategoryDefined case Category45190 Destruction of rectal tumor, transanal (cautery, laser ablation, cryo)

4 Anorectal ProceduresTransanal excision0184T TEM - Transanal Endoscopic MicrosurgeryAnorectal ProceduresTransanal excision10060 Hidradenitis/other skin infection, I&DAnorectal Procedures10080 Pilonidal ds, I&D, anyAnorectal Procedures10180 Wound infection I&DAnorectal Procedures11000 Skin biopsyAnorectal Procedures11006 Necrotizing fasciitis, debridementAnorectal Procedures11042 Wound debridement +/- VACA norectal Procedures11470 Hidradenitis/skin, perianal, unroofing/excisionAnorectal Procedures11770 Pilonidal ds, excision/unroofing - open or closedAnorectal Procedures14040 Flap closure of large perineal defect, includes skin flaps (V-Y or S flaps) and myocutaneous flaps (gracilis, TRAM/VRAM) Anorectal Procedures45100 Anorectal biopsy, transanal Anorectal Procedures45108 Anorectal myomectomy Anorectal Procedures45150 Stricture, rectum, divisionAnorectal Procedures45500 Stricture, rectal, proctoplastyAnorectal Procedures45505 Proctoplasty.

5 For prolapse of mucous membraneAnorectal Procedures45560 Rectocele repair , any typeAnorectal Procedures45562 Rectal trauma, repair , drainageAnorectal Procedures45563 Rectal trauma, repair , drainage, colostomyAnorectal Procedures45900 Reduction of procidentia (separate Procedure ) under anesthesiaAnorectal Procedures45905 Dilation of anal sphincter, under anesthesiaAnorectal Procedures45910 Stricture, anal or rectal, dilation or divisionAnorectal Procedures45915 Anorectal impaction/FB removalAnorectal Procedures45990 Anorectal EUA, no other procedureAnorectal Procedures45999 Unlisted Procedure , rectumAnorectal Procedures46040 Abscess, I&D, perirectal, any typeAnorectal Procedures46200 Fissurectomy + flapAnorectal Procedures46220 Papilla or tag, anal, excisionAnorectal Procedures46700 Stricture, anoplastyAnorectal Procedures46730 Imperforate anus, perineal or sacral repairAnorectal Procedures46740 Imperforate anus, abdominal or combined repairAnorectal Procedures46744 Cloacal anomaly, perineal or sacral repairAnorectal Procedures46746 Cloacal anomaly.

6 Abdominal or combined repairAnorectal Procedures46900 Condyloma/other lesions, perianal, office treatmentAnorectal Procedures46924 Condyloma/other lesions, perianal, excision/cautery, under anesthesiaAnorectal Procedures46999 Unlisted Procedure , anusAnorectal Procedures49215 Presacral tumor excisionAnorectal Procedures11400 Excision/destruction benign skin lesion, trunkAnorectal ProceduresCODE DESCRIPTIONP rocedure CategoryDefined case Category11420 Excision/destruction benign skin lesion, perineum or genitaliaAnorectal Procedures11600 Excision/destruction malignant skin lesion, trunkAnorectal Procedures11620 Excision/destruction malignant skin lesion, perineum or genitaliaAnorectal ProceduresCODEDESCRIPTIONP rocedure CategoryDefined case Category45395 Proctectomy , APR, Colostomy, laparoscopicAbdominal proceduresAbdominoperineal resectionStomaLaparoscopic resectionPelvic dissection45110 Proctectomy , APR, ColostomyAbdominal proceduresAbdominoperineal resectionStomaPelvic dissection45126 Pelvic exenterationAbdominal proceduresAbdominoperineal resectionStomaPelvic dissection44202 Laparoscopic, small bowel resection, any type/numberAbdominal proceduresLaparoscopic resection44207 Laparoscopic LARA bdominal proceduresLow anterior resectionLaparoscopic resectionPelvic dissection45397 Laparoscopic proctectomy, coloanal anastomosis - CAA, with colonic pouchAbdominal proceduresLow anterior resectionLaparoscopic resectionPelvic dissection44208 Laparoscopic LAR, with stomaAbdominal proceduresLow anterior resectionLaparoscopic resectionStomaPelvic dissection44145 LAR.

7 AnastomosisAbdominal proceduresLow anterior resectionPelvic dissection44147 LAR, combined abdomino-perineal AP approachAbdominal proceduresLow anterior resectionPelvic dissection45111 Proctectomy, partial, abdominalAbdominal proceduresLow anterior resectionPelvic dissection45112 Proctectomy, coloanal anastomosis - CAAA bdominal proceduresLow anterior resectionPelvic dissection45114 Proctectomy, combined abdominal and trans-sacral approachAbdominal proceduresLow anterior resectionPelvic dissection45119 Proctectomy, coloanal anastomosis - CAA, with colonic pouchAbdominal proceduresLow anterior resectionPelvic dissection45120 Proctectomy, for congenital megacolon, abdomino-perineal AP approach with pull-through (eg, Swenson, Duhamel, or Soave)Abdominal proceduresLow anterior resectionPelvic dissectionCODEDESCRIPTIONP rocedure CategoryDefined case Category45120 Proctectomy, coloanal anastomosis - CAA, for Hirschsprung's disease, any typeAbdominal proceduresLow anterior resectionPelvic dissection45121 Proctocolectomy, for congenital megacolon, including total colectomy with pull-through (eg, Swenson, Duhamel, or Soave)

8 Abdominal proceduresLow anterior resectionPelvic dissection45820 Fistula, rectourethral repair , abdominal, without resectionAbdominal proceduresLow anterior resectionPelvic dissection44146 LAR, anastomosis, stomaAbdominal proceduresLow anterior resectionPelvic dissectionStoma44157 TPC, IAA - ileo-anal anastomosis, straightAbdominal proceduresLow anterior resectionPelvic dissectionStoma45136 IPAA, excision, IleostomyAbdominal proceduresLow anterior resectionPelvic dissectionStoma45825 Fistula, rectourethral repair , no resection, with stoma Abdominal proceduresLow anterior resectionPelvic dissectionStoma44211 Laparoscopic TPC, IPAA - ileal pouch-anal anastomosisAbdominal proceduresLow anterior resectionPelvic dissectionStoma Laparoscopic resectionProctocolectomy with ileo-anal reservior44158 TPC, IPAA - ileal pouch-anal anastomosisAbdominal proceduresLow anterior resectionPelvic dissectionStomaProctocolectomy with ileo-anal reservior45113 IPAA - ileal pouch-anal anastomosis, with completion proctectomy (prior colectomy)

9 Abdominal proceduresLow anterior resectionPelvic dissectionStomaProctocolectomy with ileo-anal reservior44156 TPC - total proctocolectomy, continent IleostomyAbdominal proceduresProctocolectomy with ileostomyStomaPelvic dissectionCODEDESCRIPTIONP rocedure CategoryDefined case Category44155 TPC - total proctocolectomy, IleostomyAbdominal proceduresProctocolectomy with ileostomyStomaPelvic dissection44212 Laparoscopic TPC - total proctocolectomy, IleostomyAbdominal proceduresProctocolectomy with ileostomyStomaPelvic dissectionLaparoscopic resection45540 Rectal prolapse, rectopexy, abdominal, c or s meshAbdominal proceduresProlapse repair -abdominal45400 Laparoscopic rectopexy, for prolapseAbdominal proceduresProlapse repair -abdominal45402 Laparoscopic rectal prolapse repair , resection +/- rectopexy (Frykman)Abdominal proceduresProlapse repair -abdominalPelvic dissectionLaparoscopic resectionSegmental colectomy45550 Rectal prolapse, abdominal resection +/- rectopexy (Frykman)Abdominal proceduresProlapse repair -abdominalPelvic dissectionSegmental colectomy45130 Rectal prolapse, perineal excision (Altmeier)Anorectal proceduresRectal prolapse - perineal45505 Rectal prolapse, mucosal, proctoplasty (ectropion, Delorme)Anorectal proceduresRectal prolapse - perineal45520 Perirectal injection of sclerosing solution for prolapseAnorectal proceduresRectal prolapse - perineal45900 Reduction of procidentia (separate Procedure )

10 Under anesthesiaAnorectal proceduresRectal prolapse - perineal44140 Colon resection, anastomosisAbdominal proceduresSegmental colectomy44150 Colectomy total, stoma &/or ileo-rectal anastomosis - IRAA bdominal proceduresSegmental colectomy44160 Colon resection, ileocolic & anastomosisAbdominal proceduresSegmental colectomy44204 Laparoscopic colectomy, partial, anastomosisAbdominal proceduresSegmental colectomyLaparoscopic resection44205 Laparoscopic ileocolic resectionAbdominal proceduresSegmental colectomyLaparoscopic resection44210 Laparoscopic colectomy, total, stoma &/or ileo-rectal anastomosis - IRAA bdominal proceduresSegmental colectomyLaparoscopic resection44141 Colon resection, stomaAbdominal proceduresSegmental colectomyStoma44143 Colon resection, Hartmann procedureAbdominal proceduresSegmental colectomyStoma44144 Colon resection, stoma & mucous fistulaAbdominal proceduresSegmental colectomyStomaCODEDESCRIPTIONP rocedure CategoryDefined case Category44151 Colectomy total, continent Ileostomy Abdominal proceduresSegmental colectomyStoma44625 Stoma closure, complex, with resectionAbdominal proceduresSegmental colectomyStoma44626 Stoma closure, HartmannAbdominal proceduresSegmental colectomyStoma44206 Laparoscopic colectomy, Hartmann procedureAbdominal proceduresSegmental colectomyStomaLaparscopic resection44227 Laparoscopic stoma closure, complex, resection or Hartmann closureAbdominal proceduresSegmental colectomyStomaLaparscopic resection43830 Gastrostomy, any ty