46748 Repair of cloacal anomaly
Also known as: complex cloacal repair, cloacal repair with urinary diversion, advanced cloacal reconstruction
Repair of cloacal anomaly with ureterosigmoidostomy or complex reconstruction. Manages complex cloacal anatomy including urinary diversion.
In Plain Language
major surgery for complex cloaca with urinary diversion; reconstruction of cloaca with bowel diversion
Clinical Context
Performed for very complex cloacal anomalies requiring urinary diversion or multiple visceral reconstructions.
RVU Breakdown
| Work RVU | 69.63 |
| Total RVU | 69.63 |
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 69.63, this code ranks in the 100th percentile among Surgery codes — 8.7x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 46748?
CPT 46748 (Repair of cloacal anomaly) is a Surgery code. Repair of cloacal anomaly with ureterosigmoidostomy or complex reconstruction. Manages complex cloacal anatomy including urinary diversion.
What is the wRVU value for CPT 46748?
The work RVU for CPT 46748 is 69.63. This code is primarily used by Pediatric Surgery, Colorectal Surgery, Urology. It has a 90-day global period.
When is CPT 46748 used?
Performed for very complex cloacal anomalies requiring urinary diversion or multiple visceral reconstructions.
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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.