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See a sample rate comparisonCPT 46706 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.
Surgery To Close Anal Fistula, Surgery To Close Off An Anal Fistula. This Is A Small Abnormal Tunnel That Starts In The Anal Canal Or Passageway And Ends At The Surface Of Skin Or Elsewhere In The Body.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None 59 - Distinct Procedural Service 78 - Return to OR - related procedure |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 46706 |
| Medicaid Fee Schedule | View Medicaid rates for 46706 |
National average reimbursement for CPT 46706 by major payers:
$223.12
$229.75
$240.43
$285.65
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CPT 46706
5 of 25 sample ratesHigher to lower in this preview
North Austin Surgery Center, L.P.
North Austin Surgery Center Lp
$3,993.00Published rateAlfa Surgery Center, LLC
$1,555.00Published rateDialysis Access Services, LLC
Dialysis Access Services LLC
$1,200.00Published rateThe Gastroenterology Center Of Virginia, PLLC
$863.00Published rateVirginia Latouche
Deaconess Hospital Inc
$139.86Published rate
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See a sample payer proposalCPT 46706 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 46706 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 46706 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 |
|---|---|---|
| 46706-CPT | Moderate | Surgery To Close Anal Fistula, Surgery To Close Off An Anal Fistula. This Is A Small Abnormal Tunnel That Starts In The Anal Canal Or Passageway And Ends At The Surface Of Skin Or Elsewhere In The Body. |
| 46707-CPT | Moderate | Repair Anal/Rectal Fistula, Procedure To Repair An Abnormal Passageway (Fistula) Starting From The Anus Or Rectum. The Repair Is Done With A Plug Device. |
| 46710-CPT | High | Repr Per/Vag Pouch Sngl Proc, Repair Of Abnormal Drainage Tract Or Pocket From Surgically Created Of Small Intestinal Reservoir For Feces Via Incision Of Region Between Thighs (Combined Abdominoperineal Approach) |
| 46900-CPT | Moderate | Destruction Of Lesion(S) Anu, Destruction Of Lesion(S) Anus (Eg Condyloma Papillomamolluscum Contagiosum Herpetic Vesicle) Simple Chemical Destruction Of Lesion(S) Anus (Eg Condyloma Papilloma |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 46706. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 46706 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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