46280 Remove anal fist complex
Also known as: complex fistula excision, difficult fistula surgery, fistula reconstruction
Surgical removal of a complex anal fistula. Complex fistulas are those with multiple tracts, extrasphincteric origin, or recurrent disease.
Clinical Context
Used for complex fistulas including transsphincteric, extrasphincteric, or recurrent fistulas. May require staged procedures or tissue flaps to preserve continence.
RVU Breakdown
| Work RVU | 6.23 |
| Practice Expense RVU | 7.06 |
| Malpractice RVU | 1.16 |
| Total RVU | 14.45 |
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.