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See a sample rate comparisonCPT 46710 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
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)
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None AG - Primary physician 22 - Increased Procedural Services 82 - Assistant surgeon - no qualified resident |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 46710 |
| Medicaid Fee Schedule | View Medicaid rates for 46710 |
National average reimbursement for CPT 46710 by major payers:
$1,368.77
$1,454.82
$1,519.54
$1,773.06
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CPT 46710
5 of 25 sample ratesHigher to lower in this preview
Texas Health Harris Methodist Hospital Cleburne
$11,727.00Published rateOnyx & Pearl Surgical Suites LLC
Onyx & Pearl Surgical Suites, LLC
$1,274.00Published rateEndoscopy Center Of Western Colorado Inc
$707.00Published ratePortsmouth Surgery Center
$450.00Published rateRf Eye PC, Cochise Eye & Laser Asc
R.F. Eye, PC
$100.00Published rate
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See a sample payer proposalCPT 46710 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 46710 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 46710 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. |
| 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) |
| 46712-CPT | High | Repr Per/Vag Pouch Dbl Proc, Repair Of Abnormal Drainage Tract Or Pocket From Surgically Created Of Small Intestinal Reservoir For Feces Via Incision Of Abdomen And Region Between Thighs (Combined Abdominoperineal Approach) |
| 47100-CPT | High | Biopsy Liver Wedge |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 46710. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 46710 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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