46288 Repair anal fistula
Also known as: fistula repair, advancement flap repair, fistula reconstruction
Repair of an anal fistula using reconstruction techniques. This typically involves closure of the internal opening with or without tissue flaps.
In Plain Language
repairing an anal fistula with tissue reconstruction; closing a fistula tunnel with surgical flap
Clinical Context
Used for primary or recurrent fistula repair using flap advancement or other tissue reconstruction. Preserves continence better than fistulotomy in high fistulas.
RVU Breakdown
| Work RVU | 7.61 |
| Total RVU | 7.61 |
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 7.61, this code ranks in the 48th percentile among Surgery codes — 1.1x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 46288?
CPT 46288 (Repair anal fistula) is a Surgery code. Repair of an anal fistula using reconstruction techniques. This typically involves closure of the internal opening with or without tissue flaps.
What is the wRVU value for CPT 46288?
The work RVU for CPT 46288 is 7.61. This code is primarily used by Colorectal Surgery. It has a 90-day global period.
When is CPT 46288 used?
Used for primary or recurrent fistula repair using flap advancement or other tissue reconstruction. Preserves continence better than fistulotomy in high fistulas.
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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.