46942 Treatment of anal fissure
Also known as: Botox fissure treatment, injection fissure therapy, ablative fissure treatment
Treatment of anal fissure using injection or ablation technique. Injects botulinum toxin or other agents or uses energy-based ablation.
In Plain Language
treating an anal tear with injection or burning; advanced anal fissure treatment
Clinical Context
Minimally invasive surgical treatment for fissures refractory to medical therapy. May include Botox, calcium channel blockers, or ablation.
RVU Breakdown
| Work RVU | 2.02 |
| Total RVU | 2.02 |
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 2.02, this code ranks in the 14th percentile among Surgery codes — 4.0x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 46942?
CPT 46942 (Treatment of anal fissure) is a Surgery code. Treatment of anal fissure using injection or ablation technique. Injects botulinum toxin or other agents or uses energy-based ablation.
What is the wRVU value for CPT 46942?
The work RVU for CPT 46942 is 2.02. This code is primarily used by Colorectal Surgery. It has a 10-day global period.
When is CPT 46942 used?
Minimally invasive surgical treatment for fissures refractory to medical therapy. May include Botox, calcium channel blockers, or ablation.
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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.