46285 Remove anal fist 2 stage
Also known as: two-stage fistula repair, staged fistulotomy, sequential fistula treatment
Surgical removal of an anal fistula performed in two stages. This staged approach reduces continence risk by limiting sphincter disruption in a single procedure.
Clinical Context
Performed for high fistulas or complex cases where single-stage repair poses significant continence risk. First stage drains tract, second stage closes.
RVU Breakdown
| Work RVU | 5.28 |
| Practice Expense RVU | 12.62 |
| Malpractice RVU | 0.99 |
| Total RVU | 18.89 |
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.