CPT code 46230 denotes surgical removal of multiple external anal papillae (skin tags), commonly associated with the external edge of an anal fissure or fistula. This procedure matters nationally because it is part of routine anorectal surgical care that can affect outpatient surgical volumes, resource use in ambulatory settings, and coding clarity for procedures addressing symptomatic perianal lesions. Clear coding supports appropriate clinical documentation and payer adjudication for minor anorectal surgeries.

Key payers in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. The publication summarizes how payers generally classify and reimburse minor anorectal excisions, highlights common billing considerations, and outlines typical sites of service.

Readers will learn the clinical context for use of CPT code 46230, expected service settings (ambulatory surgical center or outpatient clinic), and how this code fits into broader anorectal procedural coding. The report provides benchmarks for utilization where available, notes relevant policy updates affecting ambulatory surgical procedures, and explains documentation elements important for coding accuracy. Data not available in the input are explicitly noted where applicable.