No office rate
The approach distinguishes these repairs: 46760 is perineal, while 46761 is abdominal.
On this page
CMS RVU26D · Effective 2026-10-01
46760 in Austin
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1063.67
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Colorectal surgery
About 46760: Anal sphincter repair, perineal approach
Reports operative repair of the anal sphincter through a perineal approach, such as repair of a documented sphincter disruption.
This service repairs the anal sphincter through an incision and operative exposure in the perineum. A surgeon, commonly a colorectal surgeon or another surgeon managing anorectal or pelvic injury, identifies and repairs the disrupted sphincter. The clinical situation may involve sphincter damage associated with childbirth or other trauma; the operative approach and work performed must support this code.
Select the code from the documented operation, not from symptoms such as fecal incontinence alone. The operative report should establish the sphincter repair and perineal approach; distinguish it from an incontinence sphincteroplasty and from an abdominal approach. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur 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.
CMS billing rules for 46760
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU17.01 · 54%
- Practice expense (office) RVU11.93 · 38%
- Malpractice RVU2.46 · 8%
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.
46760 compared with similar codes
Office rates for Austin, from the same CMS release.
No office rate
46750 describes anal sphincteroplasty for incontinence. Use 46760 for documented repair through a perineal approach.
No office rate
46751 is for secondary sphincteroplasty for incontinence; 46760 identifies repair by the perineal approach.
The same code, a different location
How does Austin compare?
46760 across payment areas
Same release and payment basis · bars start at $0
Austin · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Rest Of Texas
Texas · 46760
Office
Unavailable
Facility
$1020.50
No comparable office rate is available.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 46760
Office
Unavailable
Facility
$1117.40
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 46760
Office
Unavailable
Facility
$1159.68
No comparable office rate is available.
Miami
Florida · 46760
Office
Unavailable
Facility
$1190.76
No comparable office rate is available.
Chicago
Illinois · 46760
Office
Unavailable
Facility
$1161.16
No comparable office rate is available.
Manhattan
New York · 46760
Office
Unavailable
Facility
$1197.85
No comparable office rate is available.
Alaska*
Alaska · 46760
Office
Unavailable
Facility
$1321.87
No comparable office rate is available.
Alabama
Alabama · 46760
Office
Unavailable
Facility
$963.32
No comparable office rate is available.
Arkansas
Arkansas · 46760
Office
Unavailable
Facility
$952.75
No comparable office rate is available.
Arizona
Arizona · 46760
Office
Unavailable
Facility
$1024.60
No comparable office rate is available.
Bakersfield
California · 46760
Office
Unavailable
Facility
$1065.71
No comparable office rate is available.
Chico
California · 46760
Office
Unavailable
Facility
$1058.58
No comparable office rate is available.
El Centro
California · 46760
Office
Unavailable
Facility
$1058.99
No comparable office rate is available.
Fresno
California · 46760
Office
Unavailable
Facility
$1058.58
No comparable office rate is available.
Hanford-Corcoran
California · 46760
Office
Unavailable
Facility
$1058.58
No comparable office rate is available.
Madera
California · 46760
Office
Unavailable
Facility
$1058.58
No comparable office rate is available.
Merced
California · 46760
Office
Unavailable
Facility
$1058.58
No comparable office rate is available.
Modesto
California · 46760
Office
Unavailable
Facility
$1058.58
No comparable office rate is available.
Napa
California · 46760
Office
Unavailable
Facility
$1170.87
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 46760
Office
Unavailable
Facility
$1106.24
No comparable office rate is available.
Redding
California · 46760
Office
Unavailable
Facility
$1058.58
No comparable office rate is available.
Rest Of California
California · 46760
Office
Unavailable
Facility
$1058.58
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 46760
Office
Unavailable
Facility
$1085.19
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 46760
Office
Unavailable
Facility
$1096.07
No comparable office rate is available.
Salinas
California · 46760
Office
Unavailable
Facility
$1091.63
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 46760
Office
Unavailable
Facility
$1106.30
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 46760
Office
Unavailable
Facility
$1221.68
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 46760
Office
Unavailable
Facility
$1218.89
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 46760
Office
Unavailable
Facility
$1249.28
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 46760
Office
Unavailable
Facility
$1237.86
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 46760
Office
Unavailable
Facility
$1075.71
No comparable office rate is available.
Santa Cruz-Watsonville
California · 46760
Office
Unavailable
Facility
$1108.27
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 46760
Office
Unavailable
Facility
$1092.72
No comparable office rate is available.
Santa Rosa-Petaluma
California · 46760
Office
Unavailable
Facility
$1118.56
No comparable office rate is available.
Stockton
California · 46760
Office
Unavailable
Facility
$1058.58
No comparable office rate is available.
Vallejo
California · 46760
Office
Unavailable
Facility
$1166.84
No comparable office rate is available.
Visalia
California · 46760
Office
Unavailable
Facility
$1058.58
No comparable office rate is available.
Yuba City
California · 46760
Office
Unavailable
Facility
$1058.58
No comparable office rate is available.
Colorado
Colorado · 46760
Office
Unavailable
Facility
$1063.11
No comparable office rate is available.
Connecticut
Connecticut · 46760
Office
Unavailable
Facility
$1108.09
No comparable office rate is available.
Delaware
Delaware · 46760
Office
Unavailable
Facility
$1038.55
No comparable office rate is available.
Fort Lauderdale
Florida · 46760
Office
Unavailable
Facility
$1120.36
No comparable office rate is available.
Rest Of Florida
Florida · 46760
Office
Unavailable
Facility
$1072.59
No comparable office rate is available.
Atlanta
Georgia · 46760
Office
Unavailable
Facility
$1073.38
No comparable office rate is available.
Rest Of Georgia
Georgia · 46760
Office
Unavailable
Facility
$1021.53
No comparable office rate is available.
Hawaii, Guam
Hawaii · 46760
Office
Unavailable
Facility
$1068.79
No comparable office rate is available.
Iowa
Iowa · 46760
Office
Unavailable
Facility
$965.37
No comparable office rate is available.
Idaho
Idaho · 46760
Office
Unavailable
Facility
$973.61
No comparable office rate is available.
East St. Louis
Illinois · 46760
Office
Unavailable
Facility
$1100.23
No comparable office rate is available.
Rest Of Illinois
Illinois · 46760
Office
Unavailable
Facility
$1060.38
No comparable office rate is available.
Suburban Chicago
Illinois · 46760
Office
Unavailable
Facility
$1126.96
No comparable office rate is available.
Indiana
Indiana · 46760
Office
Unavailable
Facility
$977.47
No comparable office rate is available.
Kansas
Kansas · 46760
Office
Unavailable
Facility
$969.78
No comparable office rate is available.
Kentucky
Kentucky · 46760
Office
Unavailable
Facility
$997.57
No comparable office rate is available.
New Orleans
Louisiana · 46760
Office
Unavailable
Facility
$1036.45
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 46760
Office
Unavailable
Facility
$999.51
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 46760
Office
Unavailable
Facility
$1140.35
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 46760
Office
Unavailable
Facility
$1062.32
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 46760
Office
Unavailable
Facility
$1106.44
No comparable office rate is available.
Rest Of Maryland
Maryland · 46760
Office
Unavailable
Facility
$1052.51
No comparable office rate is available.
Rest Of Maine
Maine · 46760
Office
Unavailable
Facility
$985.85
No comparable office rate is available.
Southern Maine
Maine · 46760
Office
Unavailable
Facility
$1014.88
No comparable office rate is available.
Detroit
Michigan · 46760
Office
Unavailable
Facility
$1091.21
No comparable office rate is available.
Rest Of Michigan
Michigan · 46760
Office
Unavailable
Facility
$1024.72
No comparable office rate is available.
Minnesota
Minnesota · 46760
Office
Unavailable
Facility
$1002.50
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 46760
Office
Unavailable
Facility
$1022.59
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 46760
Office
Unavailable
Facility
$1029.83
No comparable office rate is available.
Rest Of Missouri
Missouri · 46760
Office
Unavailable
Facility
$991.66
No comparable office rate is available.
Mississippi
Mississippi · 46760
Office
Unavailable
Facility
$971.96
No comparable office rate is available.
Montana**
Montana · 46760
Office
Unavailable
Facility
$1048.62
No comparable office rate is available.
North Carolina
North Carolina · 46760
Office
Unavailable
Facility
$992.43
No comparable office rate is available.
North Dakota**
North Dakota · 46760
Office
Unavailable
Facility
$999.98
No comparable office rate is available.
Nebraska
Nebraska · 46760
Office
Unavailable
Facility
$967.00
No comparable office rate is available.
New Hampshire
New Hampshire · 46760
Office
Unavailable
Facility
$1054.85
No comparable office rate is available.
Northern Nj
New Jersey · 46760
Office
Unavailable
Facility
$1153.92
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 46760
Office
Unavailable
Facility
$1116.14
No comparable office rate is available.
New Mexico
New Mexico · 46760
Office
Unavailable
Facility
$1032.23
No comparable office rate is available.
Nevada**
Nevada · 46760
Office
Unavailable
Facility
$1035.46
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 46760
Office
Unavailable
Facility
$1230.88
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 46760
Office
Unavailable
Facility
$1129.46
No comparable office rate is available.
Queens
New York · 46760
Office
Unavailable
Facility
$1193.99
No comparable office rate is available.
Rest Of New York
New York · 46760
Office
Unavailable
Facility
$1004.46
No comparable office rate is available.
Ohio
Ohio · 46760
Office
Unavailable
Facility
$1014.78
No comparable office rate is available.
Oklahoma
Oklahoma · 46760
Office
Unavailable
Facility
$987.83
No comparable office rate is available.
Portland
Oregon · 46760
Office
Unavailable
Facility
$1081.07
No comparable office rate is available.
Rest Of Oregon
Oregon · 46760
Office
Unavailable
Facility
$1022.79
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 46760
Office
Unavailable
Facility
$1091.21
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 46760
Office
Unavailable
Facility
$1011.59
No comparable office rate is available.
Puerto Rico
Puerto Rico · 46760
Office
Unavailable
Facility
$1051.94
No comparable office rate is available.
Rhode Island
Rhode Island · 46760
Office
Unavailable
Facility
$1063.86
No comparable office rate is available.
South Carolina
South Carolina · 46760
Office
Unavailable
Facility
$1006.18
No comparable office rate is available.
South Dakota**
South Dakota · 46760
Office
Unavailable
Facility
$994.23
No comparable office rate is available.
Tennessee
Tennessee · 46760
Office
Unavailable
Facility
$974.48
No comparable office rate is available.
Utah
Utah · 46760
Office
Unavailable
Facility
$1016.50
No comparable office rate is available.
Virginia
Virginia · 46760
Office
Unavailable
Facility
$1017.86
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 46760
Office
Unavailable
Facility
$1051.94
No comparable office rate is available.
Vermont
Vermont · 46760
Office
Unavailable
Facility
$1004.21
No comparable office rate is available.
Rest Of Washington
Washington · 46760
Office
Unavailable
Facility
$1057.66
No comparable office rate is available.
Seattle (King Cnty)
Washington · 46760
Office
Unavailable
Facility
$1152.61
No comparable office rate is available.
Wisconsin
Wisconsin · 46760
Office
Unavailable
Facility
$975.19
No comparable office rate is available.
West Virginia
West Virginia · 46760
Office
Unavailable
Facility
$1032.00
No comparable office rate is available.
Wyoming**
Wyoming · 46760
Office
Unavailable
Facility
$1027.43
No comparable office rate is available.
See how rates vary across the country
46760 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Where does this rate apply?
Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
- 46760 in Austin
Multiple payment areas
- 46760 in Barton Creek
- 46760 in Bee Cave
- 46760 in Briarcliff
- 46760 in Cedar Park
Multiple payment areas
- 46760 in Creedmoor
Multiple payment areas
- 46760 in Elgin
Multiple payment areas
- 46760 in Garfield
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 46760 in Austin. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1170.04
$1063.67 × 110% = $1170.04
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 46760 in Austin.
PPRRVU2026_Oct_nonQPP.csv
5,628
- Code
- 46760
- Physician work
- 17.01
- Practice expense
- 11.93
- Malpractice
- 2.46
GPCI2026.csv
96
- Locality
- Austin
- Physician work
- 1.002
- Practice expense
- 1.058
- Malpractice
- 0.886
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 17.01 | × 1.002 | 17.0440 |
| Practice expense | 11.93 | × 1.058 | 12.6219 |
| Malpractice | 2.46 | × 0.886 | 2.1796 |
| Total RVUs | 31.8455 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Austin$1063.67
Open 46760 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 17.01 | 1.002 |
| Practice expense | 11.93 | 1.058 |
| Malpractice | 2.46 | 0.886 |
(17.01 × 1.002 + 11.93 × 1.058 + 2.46 × 0.886) × $33.4009 = $1063.67
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
46760 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $1063.67 | RVU26D |
| 2026-07-01 | Not available in this setting | $1063.67 | RVU26C |
| 2026-04-01 | Not available in this setting | $1063.67 | RVU26B |
| 2026-01-01 | Not available in this setting | $1063.67 | RVU26A |
| 2025-10-01 | Not available in this setting | $1088.70 | RVU25D |
| 2025-07-01 | Not available in this setting | $1088.70 | RVU25C |
| 2025-04-01 | Not available in this setting | $1088.70 | RVU25B |
| 2025-01-01 | Not available in this setting | $1088.70 | RVU25A |
46760 billing questions
How does this differ from 46761?
46760 is the perineal approach to anal sphincter repair. Use 46761 when the documented repair is performed through an abdominal approach.
When would 46750 or 46751 be a better fit?
Those codes describe anal sphincteroplasty for incontinence, with 46751 used for a secondary repair. Choose 46760 when the documented service is sphincter repair by the perineal approach rather than that incontinence sphincteroplasty service.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can modifier 50 be used for repair on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code because of its descriptor or anatomy.
How are other procedures in the same session handled?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction. An assistant at surgery may be paid; co-surgeon payment needs supporting documentation, and team surgery is not permitted.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
5,62546751,,Repair of anal sphincter,A,,9.07,8.39,NA,8.39,,2.42,19.88,19.88,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,62646753,,Reconstruction of anus,A,,8.67,7.40,NA,7.40,,2.33,18.40,18.40,0,090,0.09,0.81,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,62746754,,Removal of suture from anus,A,,2.93,8.07,,3.83,,0.42,11.42,7.18,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,62846760,,Repair of anal sphincter,A,,17.01,11.93,NA,11.93,,2.46,31.40,31.40,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,62946761,,Repair of anal sphincter,A,,14.91,7.36,NA,7.36,,2.58,24.85,24.85,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,63046900,,Destruction anal lesion(s),A,,1.86,5.92,,1.84,,0.26,8.04,3.96,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,63146910,,Destruction anal lesion(s),A,,1.86,6.72,,1.73,,0.30,8.88,3.89,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780
9904412,TX,11,DALLAS,1.009,0.996,0.858