CPT code 46707: Fistula repair, anorectal tract, plug2026 Medicare rate & RVUs in Tennessee

In Tennessee, Medicare pays $464.97 for 46707 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 46707 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 46707 covers

A colorectal or general surgeon uses this repair to treat an anorectal fistula by placing a plug within the fistula tract. The plug approach closes the tract while avoiding a cutting fistulotomy. The procedure is typically performed in an operating facility, where the surgeon can identify the tract and position the plug.

Select this code when the operative report documents placement of a fistula plug, rather than injection of glue or a fistulotomy. Document the tract treated and the material placed; preparing the tract and positioning the plug are steps of the repair, not additional plug repairs. Medicare treats this as major surgery: the day-before preoperative visit and 90 days of related postoperative care are included. When other procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures at 50%. Modifier 50 is inappropriate for this anatomy. An assistant surgeon is paid only when medical necessity is documented; 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 Tennessee compares for 46707

Across 109 of 109 payment localities, the facility rate for 46707 runs from $451.25 in Arkansas to $621.43 in NYC suburbs and Long Island, NY. Tennessee pays $464.97. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

46707 rates by state

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

See 46707 in every payment locality

How the 46707 rate is calculated

Each of 46707’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 46707

46707 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 46707

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

How 46707 has changed in Tennessee

Price 46707 for an earlier date of service

Where the Tennessee rate applies

Tennessee is a Medicare payment area, not a city. Our Census mapping connects it to 504 cities and communities in Tennessee. Some span more than one payment area; confirm with the service ZIP.

• Adams
• Adamsville
• Alamo
• Alcoa
• Alexandria
• Algood
• Allardt
• Altamont

Browse all communities in Tennessee

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