46730 Construction of absent anus
Also known as: anorectoplasty, anus construction, colostomy closure
Construction of an absent anus (anorectoplasty) in a single-stage procedure. Creates functional anal canal in imperforate anus.
In Plain Language
creating an anus where none exists; surgical construction of absent anus
Clinical Context
Performed in neonates and infants with low imperforate anus during primary repair. Aims to achieve normal continence.
RVU Breakdown
| Work RVU | 29.88 |
| Total RVU | 29.88 |
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 29.88, this code ranks in the 92nd percentile among Surgery codes — 3.7x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 46730?
CPT 46730 (Construction of absent anus) is a Surgery code. Construction of an absent anus (anorectoplasty) in a single-stage procedure. Creates functional anal canal in imperforate anus.
What is the wRVU value for CPT 46730?
The work RVU for CPT 46730 is 29.88. This code is primarily used by Pediatric Surgery, Colorectal Surgery. It has a 90-day global period.
When is CPT 46730 used?
Performed in neonates and infants with low imperforate anus during primary repair. Aims to achieve normal continence.
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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.