46707 Repair anorectal fist with plug
Also known as: plug fistula repair, tissue plug closure, fistula plug insertion
Repair of anorectal fistula using a tissue plug. A biocompatible plug (usually acellular tissue) is placed to seal the fistula tract.
In Plain Language
closing an anal fistula with a plug of tissue; fistula treatment with bioengineered plug
Clinical Context
Minimally invasive approach for transsphincteric and other complex fistulas. High success rates with excellent continence preservation.
RVU Breakdown
| Work RVU | 6.23 |
| Total RVU | 6.23 |
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 6.23, this code ranks in the 41st percentile among Surgery codes — 1.3x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 46707?
CPT 46707 (Repair anorectal fist with plug) is a Surgery code. Repair of anorectal fistula using a tissue plug. A biocompatible plug (usually acellular tissue) is placed to seal the fistula tract.
What is the wRVU value for CPT 46707?
The work RVU for CPT 46707 is 6.23. This code is primarily used by Colorectal Surgery. It has a 90-day global period.
When is CPT 46707 used?
Minimally invasive approach for transsphincteric and other complex fistulas. High success rates with excellent continence preservation.
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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.