46060 incision and drainage ischiorectal/ntrmrl absc
Also known as: ischiorectal I&D, ischioanal abscess drainage, intramural abscess drainage, ischiorectal abscess drainage
Incision and drainage of ischiorectal (ischioanal) or intramural anal abscess. These are deep abscesses located in the ischiorectal space or within the rectal wall, representing complex infections requiring surgical drainage.
In Plain Language
draining a deep abscess in the muscle space around the rectum; surgical drainage of complex infection
Clinical Context
Used for ischiorectal abscesses causing severe perianal pain, fever, and systemic symptoms. Often associated with fistula formation and may require treatment of underlying fistula.
RVU Breakdown
| Work RVU | 6.21 |
| Total RVU | 6.21 |
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 6.21, this code ranks in the 41st percentile among Surgery codes — 1.3x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 46060?
CPT 46060 (incision and drainage ischiorectal/ntrmrl absc) is a Surgery code. Incision and drainage of ischiorectal (ischioanal) or intramural anal abscess. These are deep abscesses located in the ischiorectal space or within the rectal wall, representing complex infections requiring surgical drainage.
What is the wRVU value for CPT 46060?
The work RVU for CPT 46060 is 6.21. This code is primarily used by Colorectal Surgery, General Surgery. It has a 90-day global period.
When is CPT 46060 used?
Used for ischiorectal abscesses causing severe perianal pain, fever, and systemic symptoms. Often associated with fistula formation and may require treatment of underlying fistula.
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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.