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.
In Plain Language
draining a deep abscess near the bottom opening; surgical drainage under sleep medication
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 |
| Total RVU | 5.72 |
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 5.72, this code ranks in the 38th percentile among Surgery codes — 1.4x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 46045?
CPT 46045 (incision and drainage absc tranal under anesthesia) is a Surgery code. 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.
What is the wRVU value for CPT 46045?
The work RVU for CPT 46045 is 5.72. This code is primarily used by Colorectal Surgery, General Surgery. It has a 90-day global period.
When is CPT 46045 used?
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.
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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.