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CPT 46505: Anal Sphincter Chemodenervation
CPT code 46505 denotes chemodenervation of the anal sphincter, a targeted injectable procedure used to interrupt neural signaling and relieve sphincter spasm. Nationally, this code represents a specialized therapeutic intervention in colorectal and proctologic care that affects ambulatory surgical and outpatient procedural billing. The code is relevant to hospital outpatient departments, ambulatory surgical centers, and clinic-based procedural billing pathways.
Key payers in the analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise briefing on clinical context, common sites of service, and the administrative framing of the procedure. The publication provides benchmarks and coding context for reimbursement and utilization, highlights typical payer considerations and coding nuances, and summarizes implications for practice workflows and administrative review.
The report outlines: the clinical purpose of CPT code 46505, typical settings where the procedure occurs, payer coverage patterns and benchmarks, and any recent policy or coding considerations that affect billing and claims adjudication. Data not available in the input will be noted where applicable.
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Billing Code Overview
CPT code 46505 describes a chemodenervation of the anal sphincter, a procedure in which a provider injects a therapeutic agent into the anal sphincter muscle to interrupt nerve signaling and relieve sphincter spasm. The procedure is delivered to the anal sphincter, a muscular ring surrounding the tip of the anus.
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Service type: Therapeutic chemodenervation (injective procedure)
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Typical site of service: Ambulatory surgical center or outpatient procedure room (office or clinic-based procedure)