46751 Repair of anal sphincter
Also known as: sphincteroplasty with rectal surgery, sphincter repair with reconstruction, complex sphincter repair
Repair of anal sphincter with rectal reconstruction. Combines sphincter repair with rectal resection or reconstruction.
In Plain Language
repairing the anal sphincter along with part of the rectum; combined sphincter and rectal repair
Clinical Context
Performed when sphincter injury occurs with associated rectal pathology requiring concurrent treatment.
RVU Breakdown
| Work RVU | 9.07 |
| Total RVU | 9.07 |
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 9.07, this code ranks in the 55th percentile among Surgery codes — 1.1x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 46751?
CPT 46751 (Repair of anal sphincter) is a Surgery code. Repair of anal sphincter with rectal reconstruction. Combines sphincter repair with rectal resection or reconstruction.
What is the wRVU value for CPT 46751?
The work RVU for CPT 46751 is 9.07. This code is primarily used by Colorectal Surgery. It has a 90-day global period.
When is CPT 46751 used?
Performed when sphincter injury occurs with associated rectal pathology requiring concurrent treatment.
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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.