46505 Chemodenervation anal muscle
Also known as: Botox injection, anal botox, botulinum toxin injection
Chemodenervation of anal muscles using botulinum toxin. Botox is injected into the anal sphincter to reduce spasticity and relieve anal fissure pain.
Clinical Context
Alternative or adjunct to surgery for chronic anal fissures. Reduces internal sphincter tone, improving blood flow and promoting healing.
RVU Breakdown
| Work RVU | 3.10 |
| Practice Expense RVU | 6.61 |
| Malpractice RVU | 0.55 |
| Total RVU | 10.26 |
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.