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.
In Plain Language
closing an anal fistula with two separate surgeries; staged approach to fistula repair
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 |
| 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 46285?
CPT 46285 (Remove anal fist 2 stage) is a Surgery code. Surgical removal of an anal fistula performed in two stages. This staged approach reduces continence risk by limiting sphincter disruption in a single procedure.
What is the wRVU value for CPT 46285?
The work RVU for CPT 46285 is 5.28. This code is primarily used by Colorectal Surgery. It has a 90-day global period.
When is CPT 46285 used?
Performed for high fistulas or complex cases where single-stage repair poses significant continence risk. First stage drains tract, second stage closes.
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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.