Jamie Posted Tue 10th of October, 2017 15:58:42 PM
Patient presents with a small skin tag with an associated superficial 3-4 mm ulcer (diagnosed as a fissure) 1 cm anterior to the anus. Provider uses electocauterization to ablate the skin tag and the fissure. There is not an associated dilation of the Anus, as the fissure is not inside the anus. Does CPT 46940, Curettage or cautery of anal fissure, including dilation of anal sphincter [separate procedure] still apply? If it does, do we apply modifier 52, as dilation was not performed? Please advise the appropriate CPT code.
SuperCoder Answered Wed 11th of October, 2017 09:10:55 AM
You are correct. It is okay to bill CPT 46940 with modifier 52 for the above procedure, as there is no other appropriate or closest code to bill. Thank you.