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46710 Repair per/vag pouch sngl procedure

Surgery Global 90d

Also known as: pouch repair, single-stage reconstruction, cloacal repair

Repair of perineal or vaginal pouch (rectoperineal or rectovestibular fistula) as single-stage procedure. Reconstructs anatomy in cloacal anomaly or similar condition.

In Plain Language

repairing a pouch between rectum and perineum/vagina in one surgery; single-stage cloacal reconstruction

Clinical Context

Performed for cloacal anomalies or complex fistulas with rectoperineal/rectovestibular involvement in selected cases.

RVU Breakdown

Work RVU16.71
Total RVU16.71

Est. Medicare Payment

$558.11

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 16.71, this code ranks in the 76th percentile among Surgery codes — 2.1x the median (8.00). The highest wRVU in this category is 106.19.

Specialties

Colorectal SurgeryPediatric Surgery

Frequently Asked Questions

What is CPT code 46710?

CPT 46710 (Repair per/vag pouch sngl procedure) is a Surgery code. Repair of perineal or vaginal pouch (rectoperineal or rectovestibular fistula) as single-stage procedure. Reconstructs anatomy in cloacal anomaly or similar condition.

What is the wRVU value for CPT 46710?

The work RVU for CPT 46710 is 16.71. This code is primarily used by Colorectal Surgery, Pediatric Surgery. It has a 90-day global period.

When is CPT 46710 used?

Performed for cloacal anomalies or complex fistulas with rectoperineal/rectovestibular involvement in selected cases.

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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.