46940 Treatment of anal fissure
Also known as: fissure treatment, topical fissure therapy, non-surgical fissure treatment
Treatment of anal fissure using pharmaceutical or physical intervention. Reduces pain and spasticity of anal sphincter.
In Plain Language
treating a tear in the anal canal; pain relief for anal fissure
Clinical Context
First-line treatment using topical agents (nitroglycerin, calcium channel blockers, local anesthetics) or physical modalities.
RVU Breakdown
| Work RVU | 2.29 |
| Total RVU | 2.29 |
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 10-day global period — follow-up visits within 10 days of the procedure are included in the reimbursement. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 2.29, this code ranks in the 16th percentile among Surgery codes — 3.5x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 46940?
CPT 46940 (Treatment of anal fissure) is a Surgery code. Treatment of anal fissure using pharmaceutical or physical intervention. Reduces pain and spasticity of anal sphincter.
What is the wRVU value for CPT 46940?
The work RVU for CPT 46940 is 2.29. This code is primarily used by Colorectal Surgery, General Surgery. It has a 10-day global period.
When is CPT 46940 used?
First-line treatment using topical agents (nitroglycerin, calcium channel blockers, local anesthetics) or physical modalities.
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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.