CPT 46020–46999 codes: Surgery: digestive system

This range contains 74 CPT Category I codes in the 2026 CMS fee schedule data, 73 of which carry work RVUs. Select a code to see its full RVU breakdown, Medicare status and related codes.

  • CPT 46020 — Placing a soft cord (seton) through an anal fistula to help drainage (1.81 wRVUs)
  • CPT 46030 — Removal of anal seton or marker (1.44 wRVUs)
  • CPT 46040 — Cutting open and draining a deep rectal abscess (5.24 wRVUs)
  • CPT 46045 — Transanal I&D of ischiorectal abscess under anesthesia (5.72 wRVUs)
  • CPT 46050 — Cutting open and draining an anal abscess just under the skin (1.21 wRVUs)
  • CPT 46060 — Cutting open and draining a deep rectal abscess in a patient with a fistula (6.21 wRVUs)
  • CPT 46070 — Incision of anal septum in infant (2.72 wRVUs)
  • CPT 46080 — Cutting the anal sphincter muscle to treat a fissure (2.46 wRVUs)
  • CPT 46083 — Cutting open an external hemorrhoid to release a blood clot (1.41 wRVUs)
  • CPT 46200 — Fissurectomy with or without sphincterotomy (3.50 wRVUs)
  • CPT 46220 — Excision of anal skin tag or papilla (1.57 wRVUs)
  • CPT 46221 — Rubber band ligation of hemorrhoids (2.30 wRVUs)
  • CPT 46230 — Excision of multiple external anal tags (2.55 wRVUs)
  • CPT 46250 — Excision of 2+ external hemorrhoid groups (4.14 wRVUs)
  • CPT 46255 — Excision of internal and external hemorrhoids, 1 group (4.84 wRVUs)
  • CPT 46257 — Excision of hemorrhoids with fissurectomy (5.62 wRVUs)
  • CPT 46258 — Excision of hemorrhoids with fistulectomy (6.25 wRVUs)
  • CPT 46260 — Surgical removal of both internal and external hemorrhoids, two or more groups (6.56 wRVUs)
  • CPT 46261 — Excision of multiple hemorrhoid groups with fissurectomy (7.57 wRVUs)
  • CPT 46262 — Excision of multiple hemorrhoid groups with fistulectomy (7.71 wRVUs)
  • CPT 46270 — Fistulotomy of subcutaneous anal fistula (4.80 wRVUs)
  • CPT 46275 — Removing an anal fistula that runs between sphincter muscles (5.28 wRVUs)
  • CPT 46280 — Fistulotomy of complex anal fistula with seton (6.23 wRVUs)
  • CPT 46285 — Second-stage anal fistulotomy (5.28 wRVUs)
  • CPT 46288 — Anal fistula closure with advancement flap (7.61 wRVUs)
  • CPT 46320 — Excision of thrombosed external hemorrhoid (1.60 wRVUs)
  • CPT 46500 — Sclerosing injection of internal hemorrhoids (1.70 wRVUs)
  • CPT 46505 — Injection of Botox into the anal muscle to relax it (3.10 wRVUs)
  • CPT 46600 — Diagnostic anoscopy with specimen collection (0.54 wRVUs)
  • CPT 46601 — Diagnostic anoscopy with high-resolution imaging (1.56 wRVUs)
  • CPT 46604 — Anoscopy with dilation (1.00 wRVUs)
  • CPT 46606 — Anoscopy with biopsy (1.17 wRVUs)
  • CPT 46607 — Anoscopy with high-resolution imaging and biopsy (2.15 wRVUs)
  • CPT 46608 — Anoscopy with foreign body removal (1.27 wRVUs)
  • CPT 46610 — Anoscopy with cautery lesion removal (1.25 wRVUs)
  • CPT 46611 — Anoscopy with snare polypectomy (1.27 wRVUs)
  • CPT 46612 — Anoscopy with removal of multiple lesions (1.46 wRVUs)
  • CPT 46614 — Anoscopy with control of bleeding (0.98 wRVUs)
  • CPT 46615 — Anoscopy with lesion ablation (1.46 wRVUs)
  • CPT 46700 — Anoplasty for anal stricture, adult (9.56 wRVUs)
  • CPT 46705 — Anoplasty for anal stricture, infant (7.24 wRVUs)
  • CPT 46706 — Anal fistula closure with fibrin glue (2.38 wRVUs)
  • CPT 46707 — Anal fistula closure with plug (6.23 wRVUs)
  • CPT 46710 — Repair of ileoanal pouch fistula, single procedure (16.71 wRVUs)
  • CPT 46712 — Repair of ileoanal pouch fistula, combined approach (35.54 wRVUs)
  • CPT 46715 — Repair of low imperforate anus with fistula (7.43 wRVUs)
  • CPT 46716 — Repair of imperforate anus with fistula, vestibule variant (17.10 wRVUs)
  • CPT 46730 — Perineal reconstruction of absent anus (29.88 wRVUs)
  • CPT 46735 — Perineal and sacral reconstruction of absent anus (35.24 wRVUs)
  • CPT 46740 — Perineal and sacral reconstruction of absent anus with fistula (33.05 wRVUs)
  • CPT 46742 — Repair of imperforate anus, abdominoperineal (39.14 wRVUs)
  • CPT 46744 — Repair of cloacal anomaly, perineal or sacral (57.47 wRVUs)
  • CPT 46746 — Repair of cloacal anomaly, abdominoperineal (63.80 wRVUs)
  • CPT 46748 — Repair of cloacal anomaly, extended abdominoperineal (69.63 wRVUs)
  • CPT 46750 — Anal sphincteroplasty for incontinence, adult (11.85 wRVUs)
  • CPT 46751 — Anal sphincteroplasty for incontinence, child (9.07 wRVUs)
  • CPT 46753 — Anal reconstruction with muscle flap (8.67 wRVUs)
  • CPT 46754 — Removal of anal cerclage or suture (2.93 wRVUs)
  • CPT 46760 — Anal sphincter reconstruction with muscle transposition, adult (17.01 wRVUs)
  • CPT 46761 — Anal sphincter reconstruction with levator muscle wrap (14.91 wRVUs)
  • CPT 46900 — Chemical destruction of anal lesions (1.86 wRVUs)
  • CPT 46910 — Electrocautery destruction of anal lesions (1.86 wRVUs)
  • CPT 46916 — Cryosurgery destruction of anal lesions (1.86 wRVUs)
  • CPT 46917 — Laser destruction of anal lesions (1.86 wRVUs)
  • CPT 46922 — Cutting out one or more growths at the anal opening (1.86 wRVUs)
  • CPT 46924 — Destroying growths inside or around the anus using laser, heat, or freezing (2.74 wRVUs)
  • CPT 46930 — Thermal destruction of internal hemorrhoids (1.57 wRVUs)
  • CPT 46940 — Initial treatment of anal fissure with sphincterotomy (2.29 wRVUs)
  • CPT 46942 — Repeat treatment of anal fissure with sphincterotomy (2.02 wRVUs)
  • CPT 46945 — Ligation of internal hemorrhoid, single column, no imaging (3.60 wRVUs)
  • CPT 46946 — Ligation of internal hemorrhoids, 2+ columns, no imaging (4.39 wRVUs)
  • CPT 46947 — Stapled hemorrhoidopexy (5.43 wRVUs)
  • CPT 46948 — Transanal hemorrhoidal dearterialization, 2+ arteries (5.43 wRVUs)
  • CPT 46999 — Unlisted procedure anus

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