46080 Sphnctrotmy anal div sphnctr
Also known as: lateral sphincterotomy, internal anal sphincterotomy, anal myotomy
Anal sphincterotomy with division of the anal sphincter muscle. This procedure involves cutting the internal or external anal sphincter to reduce pressure and pain, primarily used for anal fissures.
In Plain Language
cutting the tight muscle around the anus; loosening the sphincter to reduce pain
Clinical Context
Standard surgical treatment for chronic anal fissures refractory to medical therapy. Relieves pain by reducing anal pressure and improving blood flow to the fissure.
RVU Breakdown
| Work RVU | 2.46 |
| Total RVU | 2.46 |
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 10-day global period — follow-up visits within 10 days of the procedure are included in the reimbursement. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 2.46, this code ranks in the 17th percentile among Surgery codes — 3.2x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 46080?
CPT 46080 (Sphnctrotmy anal div sphnctr) is a Surgery code. Anal sphincterotomy with division of the anal sphincter muscle. This procedure involves cutting the internal or external anal sphincter to reduce pressure and pain, primarily used for anal fissures.
What is the wRVU value for CPT 46080?
The work RVU for CPT 46080 is 2.46. This code is primarily used by Colorectal Surgery, General Surgery. It has a 10-day global period.
When is CPT 46080 used?
Standard surgical treatment for chronic anal fissures refractory to medical therapy. Relieves pain by reducing anal pressure and improving blood flow to the fissure.
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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.