CPT® Code 46754

The CPT® Code 46754 refers to the procedure for the removal of Thiersch wire or suture from the anal canal. This procedure is part of a Thiersch operation, which is commonly known as anal encirclement. The Thiersch operation is primarily indicated for patients suffering from rectal incontinence or rectal prolapse. During this surgical intervention, a thin band made of non-absorbable material, such as wire or suture, is strategically placed beneath the skin surrounding the anus. This band is then advanced to encircle the entire circumference of the anal area. Over time, the presence of this foreign material leads to the formation of a fibrous ring, which serves to support the anal canal, thereby preventing the prolapse of the rectum and mitigating issues related to incontinence. It is important to note that CPT® Code 46753 is designated for the initial placement of the wire or suture, while CPT® Code 46754 specifically pertains to the removal of this material.