CPT® Code 46220

Excision of a single external papilla or tag at the anus, as described by CPT® Code 46220, involves the surgical removal of abnormal growths known as anal papillae or tags. Anal papillae are normal anatomical structures found at the upper end of the anal canal, which can sometimes become inflamed or enlarged, necessitating their excision. Anal tags, on the other hand, are flaps of skin located at the anal verge, the area where the mucous membrane of the anal canal transitions to the perianal skin. These tags may develop as a result of external hemorrhoids that have resolved, leading to the colloquial term "hemorrhoidal tags." The procedure typically begins with the cleansing of the area, followed by the administration of a local anesthetic to ensure patient comfort. The surgeon then excises the enlarged papilla or tag, and if necessary, the mucous membrane is closed with sutures to promote proper healing. This procedure is performed to alleviate discomfort or complications associated with these growths.