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An anal cryptectomy, designated by CPT® Code 46210, is a surgical procedure aimed at excising a single anal crypt, which is a small pocket or groove located in the mucosa of the anal canal. These anal crypts, also referred to as anal sinuses or Morgagni sinuses, contribute to the characteristic scalloped appearance of the anal canal. The procedure is primarily indicated for patients suffering from chronic infection of the anal crypts, a condition known as cryptitis. During the cryptectomy, the surgeon makes an incision in the mucous membrane surrounding the affected anal crypt. This incision is carefully extended around the entire crypt to ensure complete excision. Following the removal of the crypt, the mucous membrane is sutured closed as necessary to promote proper healing. It is important to note that CPT® Code 46210 is specifically used for the excision of a single crypt, while CPT® Code 46211 is designated for the excision of multiple crypts.
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