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See a sample rate comparisonCPT 46045 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Incision Of Rectal Abscess, Incision And Drainage Of Intramural Intramuscular Or Submucosal Abscess Transanal Under Anesthesia
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None AG - Primary physician GC - Service performed by resident under supervision 78 - Return to OR - related procedure |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 46045 |
| Medicaid Fee Schedule | View Medicaid rates for 46045 |
National average reimbursement for CPT 46045 by major payers:
$527.96
$559.42
$613.01
$695.70
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CPT 46045
5 of 25 sample ratesHigher to lower in this preview
Silicon Valley Surgery Center, Lp
Silicon Valley Surgery Center, L.P.
$4,539.00Published ratePhoenix Spine Goodyear Asc, LLC, Phoenix Spine Surgery Center
Phoenix Spine Goodyear, Ltd.
$2,353.00Published rateNorth Mississippi Ambulatory Surgery Center LLC
$1,520.00Published rateAffiliated Physicians & Surgeons, Ltd
Affiliated Physicians Surgeons Ltd
$1,059.00Published rateEye Surgical Center, LLC, The Institute For Refractive And Intraocular Surgery
Eye Surgical Center LLC
$689.00Published rate
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See a sample payer proposalCPT 46045 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 46045 code is part of the Surgery services used for Surgical Procedures on the Digestive System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 46045 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 46030-CPT | Moderate | Rectal Surgery, Surgery To Close Off An Abnormal Passageway (Fistula). This Is A Two-Stage Procedure. First A Type Of Gauze Is Placed In The Rectum To Mark And Surround The Fistula. The Gauze Is Pulled Tight Gradually Until The Fistula Is Closed. |
| 46040-CPT | Moderate | Ncision & Drain Of Ischiorectal &/Or Perirectal Absces (Separ, Incision And Drainage Of Ischiorectal And/Or Perirectal Abscess (Separ |
| 46045-CPT | Moderate | Incision Of Rectal Abscess, Incision And Drainage Of Intramural Intramuscular Or Submucosal Abscess Transanal Under Anesthesia |
| 46050-CPT | Moderate | I&D Abscess Perianal Superficial |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 46045. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 46045 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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