46275 Remove anal fist inter
Also known as: intersphincteric fistula excision, intermediate fistula removal, fistulotomy, fistulotomy complex
Surgical removal of an intersphincteric (intermediate) anal fistula. This fistula tract traverses between the internal and external anal sphincters.
In Plain Language
removing a tunnel between sphincter muscles; surgery on a mid-level anal fistula
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 |
| Total RVU | 5.28 |
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 5.28, this code ranks in the 36th percentile among Surgery codes — 1.5x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 46275?
CPT 46275 (Remove anal fist inter) is a Surgery code. Surgical removal of an intersphincteric (intermediate) anal fistula. This fistula tract traverses between the internal and external anal sphincters.
What is the wRVU value for CPT 46275?
The work RVU for CPT 46275 is 5.28. This code is primarily used by Colorectal Surgery, General Surgery. It has a 90-day global period.
When is CPT 46275 used?
Performed for intersphincteric fistulas, which can be treated by fistulotomy or advancement flap repair depending on anatomy and risk to continence.
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.