46753 Reconstruction of anus
Also known as: anal reconstruction, anoplasty with sphincter reconstruction, canal reconstruction
Reconstruction of anal canal and anal sphincter complex. Creates or recreates functional anal canal with sphincter restoration.
In Plain Language
rebuilding the anal opening and sphincter muscle; comprehensive anal reconstruction
Clinical Context
Performed for severe anal canal or sphincter damage from trauma, cancer resection, or congenital defects.
RVU Breakdown
| Work RVU | 8.67 |
| Total RVU | 8.67 |
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 8.67, this code ranks in the 53rd 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 46753?
CPT 46753 (Reconstruction of anus) is a Surgery code. Reconstruction of anal canal and anal sphincter complex. Creates or recreates functional anal canal with sphincter restoration.
What is the wRVU value for CPT 46753?
The work RVU for CPT 46753 is 8.67. This code is primarily used by Colorectal Surgery. It has a 90-day global period.
When is CPT 46753 used?
Performed for severe anal canal or sphincter damage from trauma, cancer resection, or congenital defects.
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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.