CPT® Code 46753

The Thiersch operation, also known as anal encirclement, is a surgical procedure specifically designed to address issues related to rectal incontinence and/or prolapse. This operation involves the strategic placement of a thin band made from non-absorbable materials, such as wire or suture, beneath the skin surrounding the anus. The primary objective of this procedure is to create a supportive fibrous ring that encircles the anus, which serves to reinforce the anal canal and prevent the rectum from prolapsing. By doing so, it effectively reduces the incidence of rectal incontinence, a condition where individuals experience involuntary loss of stool. The Thiersch operation is particularly beneficial for patients who have not found relief through conservative treatments. It is important to note that the CPT® code 46753 is designated for the placement of the wire or suture during this procedure, while the removal of the Thiersch wire or suture is coded under CPT® 46754.