CPT code 46751: Anal sphincter repair2026 Medicare rate & RVUs in Austin

In Austin, Medicare pays $671.65 for 46751 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 46751 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 46751 covers

This code describes a secondary repair of the anal sphincter through a perineal approach, typically to reconstruct a sphincter disrupted by an earlier injury or operation. A colorectal surgeon or another surgeon experienced in pelvic floor reconstruction may perform it for a chronic defect associated with impaired continence. The operative note should establish the sphincter defect and describe the secondary reconstruction and perineal approach.

Report the code for the secondary repair, not a primary repair or an operation using a different approach. The service has a 90-day global period, which includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted. Do not report modifier 50 for this repair.

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 Austin compares for 46751

Across 109 of 109 payment localities, the facility rate for 46751 runs from $585.29 in Arkansas to $805.63 in Nyc Suburbs/Long Island. Austin pays $671.65. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

46751 rates by state

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

See 46751 in every payment locality

How the 46751 rate is calculated

Each of 46751’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 46751

46751 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 46751

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

How 46751 has changed in Austin

Price 46751 for an earlier date of service

Where the Austin rate applies

Austin is a Medicare payment area, not a city. Our Census mapping connects it to 31 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

• 46751 in Austin · multiple payment areas
• 46751 in Barton Creek
• 46751 in Bee Cave
• 46751 in Briarcliff
• 46751 in Cedar Park · multiple payment areas
• 46751 in Creedmoor · multiple payment areas
• 46751 in Elgin · multiple payment areas
• 46751 in Garfield

Browse all communities in Texas

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