46275 Remove anal fist inter
Also known as: intersphincteric fistula excision, intermediate fistula removal, fistulotomy
Surgical removal of an intersphincteric (intermediate) anal fistula. This fistula tract traverses between the internal and external anal sphincters.
Clinical Context
Performed for intersphincteric fistulas, which can be treated by fistulotomy or advancement flap repair depending on anatomy and risk to continence.
RVU Breakdown
| Work RVU | 5.28 |
| Practice Expense RVU | 12.62 |
| Malpractice RVU | 0.98 |
| Total RVU | 18.88 |
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.