46744 Repair of cloacal anomaly
Also known as: cloacal repair, cloacal reconstruction, primary cloacal repair
Repair of cloacal anomaly as primary procedure. Reconstructs anatomy in rare developmental abnormality with common channel.
In Plain Language
fixing a birth defect where rectum, bladder, and reproductive tract share opening; reconstruction of cloaca
Clinical Context
Performed for cloacal anomalies (common cloaca with single perineal opening). High-risk surgery with risk to urinary/fecal/reproductive function.
RVU Breakdown
| Work RVU | 57.47 |
| Total RVU | 57.47 |
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 57.47, this code ranks in the 99th percentile among Surgery codes — 7.2x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 46744?
CPT 46744 (Repair of cloacal anomaly) is a Surgery code. Repair of cloacal anomaly as primary procedure. Reconstructs anatomy in rare developmental abnormality with common channel.
What is the wRVU value for CPT 46744?
The work RVU for CPT 46744 is 57.47. This code is primarily used by Pediatric Surgery, Colorectal Surgery, Urology. It has a 90-day global period.
When is CPT 46744 used?
Performed for cloacal anomalies (common cloaca with single perineal opening). High-risk surgery with risk to urinary/fecal/reproductive function.
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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.