46045 incision and drainage absc tranal under anesthesia
Also known as: transsphincteric I&D, deep anal abscess drainage
Incision and drainage of a transsphincteric anal abscess under anesthesia. This is a deep abscess involving the anal sphincter complex and requires surgical intervention under general or regional anesthesia.
Clinical Context
Used for transsphincteric abscesses (those crossing the anal sphincter) requiring surgical drainage. Common in patients with Crohn's disease or idiopathic abscesses with severe pain and risk of sepsis.
RVU Breakdown
| Work RVU | 5.72 |
| Practice Expense RVU | 6.43 |
| Malpractice RVU | 1.25 |
| Total RVU | 13.40 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Specialties
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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.