46716 Rep perf anoper/vestib fistu
Also known as: rectovestibular fistula repair, perineal-vestibular repair, fistula reconstruction
Repair of a perineal or vestibular anorectal fistula. Reconstructs complex communication between rectum and perineal or vestibular tissues.
In Plain Language
fixing a tunnel between rectum and perineal/vaginal area; complex fistula closure
Clinical Context
Performed for complex fistulas involving vestibular or extensive perineal involvement, often requiring flap reconstruction.
RVU Breakdown
| Work RVU | 17.10 |
| Total RVU | 17.10 |
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 17.10, this code ranks in the 77th percentile among Surgery codes — 2.1x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 46716?
CPT 46716 (Rep perf anoper/vestib fistu) is a Surgery code. Repair of a perineal or vestibular anorectal fistula. Reconstructs complex communication between rectum and perineal or vestibular tissues.
What is the wRVU value for CPT 46716?
The work RVU for CPT 46716 is 17.10. This code is primarily used by Colorectal Surgery, Pediatric Surgery. It has a 90-day global period.
When is CPT 46716 used?
Performed for complex fistulas involving vestibular or extensive perineal involvement, often requiring flap reconstruction.
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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.