46746 Repair of cloacal anomaly
Also known as: complex cloacal repair, cloacal reconstruction with vaginoplasty, revised cloacal repair
Repair of cloacal anomaly with revision/mobilization. Complex cloacal repair with vaginoplasty or ureteroplasty component.
In Plain Language
major surgery to fix cloaca with additional reconstruction; cloacal repair with vaginoplasty
Clinical Context
Performed for complex cloacal anomalies requiring additional vaginoplasty, ureteroplasty, or revision of previous repairs.
RVU Breakdown
| Work RVU | 63.80 |
| Total RVU | 63.80 |
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 63.80, this code ranks in the 100th percentile among Surgery codes — 8.0x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 46746?
CPT 46746 (Repair of cloacal anomaly) is a Surgery code. Repair of cloacal anomaly with revision/mobilization. Complex cloacal repair with vaginoplasty or ureteroplasty component.
What is the wRVU value for CPT 46746?
The work RVU for CPT 46746 is 63.80. This code is primarily used by Pediatric Surgery, Colorectal Surgery. It has a 90-day global period.
When is CPT 46746 used?
Performed for complex cloacal anomalies requiring additional vaginoplasty, ureteroplasty, or revision of previous repairs.
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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.