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See a sample rate comparisonCPT 46707 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.
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.
| 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 46707 |
| Medicaid Fee Schedule | View Medicaid rates for 46707 |
National average reimbursement for CPT 46707 by major payers:
$619.94
$657.50
$676.25
$819.73
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CPT 46707
5 of 25 sample ratesHigher to lower in this preview
Disc Surgery Center At Marina Del Rey LLC
$12,000.00Published rateBsc 1 LLC
$2,855.00Published rateWaco Gastroenterology Endoscopy Center LLC, Waco Gastroenterology Endoscopy Center
Waco Gastroenterology Endoscopy Center LLC
$1,854.00Published rateEast Columbus Surgery Center LLC
$1,380.00Published rateNorthwest Eye Specialists,LLC
Northwest Eye Specialists, P.L.L.C.
$515.00Published rate
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See a sample payer proposalCPT 46707 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 46707 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 46707 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. |
| 46910-CPT | Moderate | Anus Surgery To Remove Growth, Surgery To Destroy And Remove Abnormal Tissue From The Anus. The Tissue May Be Destroyed With Heat Cold Chemicals Or A Laser. |
| 46922-CPT | Moderate | Excision Of Anal Lesion S, Destruction Of Lesion S Anus Eg Condyloma Papilloma Molluscum Contagiosum Herpetic Vesicle Simple Surgical Excision |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 46707. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 46707 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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