46706 Repair of anal fistula with glue
Also known as: glue fistula repair, fibrin glue closure, biologic fistula repair
Repair of anal fistula using fibrin glue. Minimally invasive technique using biological adhesive to seal the fistula tract.
In Plain Language
sealing an anal fistula with special glue; glue-based fistula closure
Clinical Context
Minimally invasive approach for simple fistulas. Lower success rates than other methods but preserves continence completely.
RVU Breakdown
| Work RVU | 2.38 |
| Total RVU | 2.38 |
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 10-day global period — follow-up visits within 10 days of the procedure are included in the reimbursement. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 2.38, this code ranks in the 17th percentile among Surgery codes — 3.4x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 46706?
CPT 46706 (Repair of anal fistula with glue) is a Surgery code. Repair of anal fistula using fibrin glue. Minimally invasive technique using biological adhesive to seal the fistula tract.
What is the wRVU value for CPT 46706?
The work RVU for CPT 46706 is 2.38. This code is primarily used by Colorectal Surgery. It has a 10-day global period.
When is CPT 46706 used?
Minimally invasive approach for simple fistulas. Lower success rates than other methods but preserves continence completely.
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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.