CPT code 46060: Abscess drainage, with fistula treatment2026 Medicare rate & RVUs in Virginia

In Virginia, Medicare pays $475.73 for 46060 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 46060 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 46060 covers

This operation drains a deep abscess in the ischiorectal space or within the anorectal wall while also treating an associated fistula tract by fistulotomy or fistulectomy. Seton placement is included when performed as part of the operation. A colorectal or general surgeon typically performs the procedure in an operating room when the abscess and fistula require operative treatment; it is more extensive than draining a superficial perianal collection.

Report 46060 when the operative service includes both abscess drainage and fistula treatment. The operative report should identify the abscess location, the fistula tract and the work performed on it, and whether a seton was placed. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery, and co-surgeons and team surgery are not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Virginia compares for 46060

Across 109 of 109 payment localities, the facility rate for 46060 runs from $437.80 in Arkansas to $603.80 in San Benito County, CA. Virginia pays $475.73. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

46060 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 46060 in every payment locality

How the 46060 rate is calculated

Each of 46060’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 46060

46060 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

Codes related to 46060

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 46060 has changed in Virginia

Price 46060 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

• Abbs Valley
• Abingdon
• Accomac
• Adwolf
• Afton
• Alberta
• Aldie
• Allison Gap

Browse all communities in Virginia

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates