46270 Remove anal fist subcutaneous
Also known as: subcutaneous fistula excision, low anal fistula removal, fistulotomy
Surgical removal of a subcutaneous anal fistula. This is a fistula tract located in the subcutaneous tissue superficial to the sphincter complex.
Clinical Context
Used for simple subcutaneous anal fistulas (low fistulas) with primary tract only. Has low recurrence and continence preservation rates.
RVU Breakdown
| Work RVU | 4.80 |
| Practice Expense RVU | 12.17 |
| Malpractice RVU | 0.99 |
| Total RVU | 17.96 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Specialties
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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.