46715 Rep perf anoper fistu
Also known as: rectoperineal fistula repair, perineal fistula closure, fistula reconstruction
Repair of a perineal anorectal fistula. Reconstructs communication between rectum and perineal skin.
In Plain Language
fixing a tunnel between the rectum and perineal skin; closure of perineal anal fistula
Clinical Context
Performed for perineal anorectal fistulas, often associated with cloacal anomalies or previous surgery.
RVU Breakdown
| Work RVU | 7.43 |
| Total RVU | 7.43 |
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 7.43, this code ranks in the 47th 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 46715?
CPT 46715 (Rep perf anoper fistu) is a Surgery code. Repair of a perineal anorectal fistula. Reconstructs communication between rectum and perineal skin.
What is the wRVU value for CPT 46715?
The work RVU for CPT 46715 is 7.43. This code is primarily used by Colorectal Surgery, Pediatric Surgery. It has a 90-day global period.
When is CPT 46715 used?
Performed for perineal anorectal fistulas, often associated with cloacal anomalies or previous surgery.
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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.