46200 Removal of anal fissure
Also known as: fissurectomy, anal fissure excision, fissure removal
Surgical excision (removal) of an anal fissure. This procedure involves excising the fissure tissue and is often combined with lateral sphincterotomy to prevent recurrence.
Clinical Context
Used for chronic anal fissures, often in combination with sphincterotomy. Indicated when medical management fails or for anterior/posterior fissures.
RVU Breakdown
| Work RVU | 3.50 |
| Practice Expense RVU | 11.79 |
| Malpractice RVU | 0.60 |
| Total RVU | 15.89 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Specialties
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against MGMA data — all in one app.
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.