CPT® Code 46050

A superficial perianal abscess is a localized collection of pus that occurs in the connective tissue surrounding the anus. This condition typically arises due to infection, leading to the formation of a painful swelling that can cause discomfort and difficulty during bowel movements. The procedure for incision and drainage involves a thorough examination, often through a digital rectal examination, to accurately locate the abscess. Once identified, a surgical incision is made, typically in a radial or cross-shaped (cruciate) pattern, over the most prominent part of the abscess. This incision allows for effective drainage of the pus and alleviates pressure in the affected area. The procedure is designed to ensure that the abscess cavity is fully exposed, facilitating manual inspection and the breaking up of any loculations, or pockets, that may be present within the abscess. Following drainage, the incision may be left open to allow for continued drainage, packed with iodophor gauze for a short period, or a drain may be placed to assist in the healing process.