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See a sample rate comparisonCPT 46760 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.
Sphincteroplasty Anal For Ncontinenc Adult; Muscl Transplnt, Sphincteroplasty Anal For Incontinence Adult; Muscle Transplant
| 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 51 - Multiple procedures UB |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 46760 |
| Medicaid Fee Schedule | View Medicaid rates for 46760 |
National average reimbursement for CPT 46760 by major payers:
$1,360.18
$1,431.37
$1,503.64
$1,760.64
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CPT 46760
5 of 25 sample ratesHigher to lower in this preview
Inova Loudoun Ambulatory Surgery
$6,290.00Published rateSan Antonio Endoscopy, Lp, San Antonio Endoscopy Center
San Antonio Endoscopy Lp
$3,570.00Published rateSurgcenter Of Fayetteville, LLC
Surgcenter Of Fayetteville LLC
$1,707.00Published rateMain Street Asc LLC, Ophthalmic Associates Surgery And Laser Center
Main Street Asc LLC
$1,029.00Published rateLake Country Endoscopy Center, LLC
Lake Country Endoscopy Center LLC
$730.00Published rate
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See a sample payer proposalCPT 46760 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 46760 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 46760 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 |
|---|---|---|
| 46750-CPT | Moderate | Sphincteropl,Anal-Prolapse;Adult |
| 46760-CPT | High | Sphincteroplasty Anal For Ncontinenc Adult; Muscl Transplnt, Sphincteroplasty Anal For Incontinence Adult; Muscle Transplant |
| 46761-CPT | High | Sphincteroplast Anal For Ncontinenc Adult; Lvator Muscl Imbric, Sphincteroplasty Anal For Incontinence Adult; Levator Muscle Imbric |
| 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 46760. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 46760 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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