46040 incision and drainage ischiorct and/or perirct absc
Also known as: ischiorectal abscess drainage, perirectal abscess drainage, perianal abscess drainage
Incision and drainage of ischiorectal or perirectal abscess via transanal or transperinal approach.
In Plain Language
surgical drainage of rectal area infection
Clinical Context
Emergency procedure for ischiorectal or perirectal abscess presenting with pain, fever, and fluctuance.
RVU Breakdown
| Work RVU | 5.24 |
| Total RVU | 5.24 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 5.24, this code ranks in the 35th percentile among Surgery codes — 1.5x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 46040?
CPT 46040 (incision and drainage ischiorct and/or perirct absc) is a Surgery code. Incision and drainage of ischiorectal or perirectal abscess via transanal or transperinal approach.
What is the wRVU value for CPT 46040?
The work RVU for CPT 46040 is 5.24. This code is primarily used by Colorectal Surgery, General Surgery, Emergency Medicine. It has a 90-day global period.
When is CPT 46040 used?
Emergency procedure for ischiorectal or perirectal abscess presenting with pain, fever, and fluctuance.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.