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See a sample rate comparisonCPT 46746 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.
Repair Of Cloacal Anomaly, Repair Of Defect For Single Channel Outlet Of Rectum Vagina And Urinary Tract Via Incision Of Region Between Thighs Or Below Sacrum (Combined Abdominal And Sacroperineal Approach)
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 21 - Inpatient Hospital |
| Common Modifiers | None 62 - Co-Surgeons GC - Service performed by resident under supervision 66 - Surgical Team |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 46746 |
| Medicaid Fee Schedule | View Medicaid rates for 46746 |
National average reimbursement for CPT 46746 by major payers:
$4,656.33
$5,071.32
$5,240.90
$6,192.63
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CPT 46746
5 of 25 sample ratesHigher to lower in this preview
Christus Santa Rosa Outpatient Surgery, Christus Physicians Surgery Center - New Braunfels
$3,493.00Published rateUcsd Surgical Center Of San Diego, LLC
$1,295.00Published rateNortheast Georgia Urological Surgery Center, LLC
Northeast Georgia Urological Surgery Center LLC
$775.00Published rateSurgery Center Of Farmington, L.L.C.
Surgery Center Of Farmington
$445.00Published rateNiagara Asc, LLC, Asc Of Niagara
Niagara Asc LLC
$240.00Published rate
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See a sample payer proposalCPT 46746 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 46746 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 46746 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 |
|---|---|---|
| 46742-CPT | High | Epair Of Imperforated Anus, Repair Of Absence Of Opening In Anus And Abnormal Opening From Rectum Into Urethra Or Vagina Approached Through Abdomen Or Below Sacrum (Combined Abdominal And Sacroperineal Approach) |
| 46746-CPT | High | Repair Of Cloacal Anomaly, Repair Of Defect For Single Channel Outlet Of Rectum Vagina And Urinary Tract Via Incision Of Region Between Thighs Or Below Sacrum (Combined Abdominal And Sacroperineal Approach) |
| 46748-CPT | High | Repair Of Cloacal Anomaly, Repair Of Defect For Single Channel Outlet Of Rectum Vagina And Urinary Tract Via Incision Of Region Between Thighs Or Below Sacrum (Combined Abdominal And Sacroperineal Approach) With Lengthening Of Vagina |
| 46947-CPT | Moderate | Hemorrhoidopexy (Eg For Prolapsi Intern Hemorrhoids) By Stapl, Hemorrhoidopexy (Eg For Prolapsing Internal Hemorrhoids) By Stapling |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 46746. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 46746 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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