© Copyright 2026 American Medical Association. All rights reserved.
The procedure described by CPT® Code 46230 involves the excision of multiple external papillae or tags located at the anus. Anal tags are defined as flaps of skin that appear at the anal verge, which is the area where the mucous membrane of the anal canal transitions to the perianal skin. These tags can often be associated with external hemorrhoids that have resolved, leading to the formation of a tag. Additionally, anal papillae are normal anatomical projections found in the epithelium at the upper end of the anal canal. In certain cases, these papillae may become inflamed or enlarged, necessitating their removal. The procedure begins with a thorough cleansing of the area to ensure a sterile environment. Following this, the enlarged papillae or external hemorrhoid tags are excised, and if necessary, the mucous membrane is closed using sutures to promote proper healing and restore the integrity of the anal region.
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