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.
In Plain Language
removing a tear in the anal canal; surgical treatment of anal fissure
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 |
| Total RVU | 3.50 |
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 3.50, this code ranks in the 25th percentile among Surgery codes — 2.3x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 46200?
CPT 46200 (Removal of anal fissure) is a Surgery code. Surgical excision (removal) of an anal fissure. This procedure involves excising the fissure tissue and is often combined with lateral sphincterotomy to prevent recurrence.
What is the wRVU value for CPT 46200?
The work RVU for CPT 46200 is 3.50. This code is primarily used by Colorectal Surgery, General Surgery. It has a 90-day global period.
When is CPT 46200 used?
Used for chronic anal fissures, often in combination with sphincterotomy. Indicated when medical management fails or for anterior/posterior fissures.
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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.