No office rate
Use 46700 for anal stricture repair without sphincterotomy. Code 46705 describes the repair when sphincterotomy is included.
On this page
CMS RVU26D · Effective 2026-10-01
46705 in Delaware
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$567.96
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 46705: Anal stricture repair with sphincterotomy
Surgical repair of anal narrowing that includes sphincterotomy, reported when the operative treatment addresses the stricture using this technique.
This operation widens a narrowed anal canal and includes division of sphincter muscle as part of the repair. A colorectal surgeon typically performs it in an operating room for a patient whose anal stricture causes clinically significant narrowing. The operative report should establish the stricture and describe the repair and sphincterotomy performed; the code is distinguished from repair without sphincterotomy.
Report one service for the operative procedure, supported by documentation of the stricture and the technique used. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. 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% multiple-procedure reduction. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 46705
- 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 RVU7.24 · 42%
- Practice expense (office) RVU8.09 · 47%
- Malpractice RVU1.93 · 11%
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.
46705 compared with similar codes
Office rates for Delaware, from the same CMS release.
No office rate
46750 addresses repair of the anal sphincter itself, rather than widening an anal stricture with sphincterotomy.
$311.79
46080 describes sphincterotomy performed as its own service, commonly for anal fissure treatment. It is not a substitute for stricture repair that includes sphincterotomy.
The same code, a different location
How does Delaware compare?
46705 across payment areas
Same release and payment basis · bars start at $0
Delaware · This locality
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 Delaware 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
Alabama
Alabama · 46705
Office
Unavailable
Facility
$514.75
No comparable office rate is available.
Arkansas
Arkansas · 46705
Office
Unavailable
Facility
$507.13
No comparable office rate is available.
Arizona
Arizona · 46705
Office
Unavailable
Facility
$558.84
No comparable office rate is available.
Bakersfield
California · 46705
Office
Unavailable
Facility
$581.83
No comparable office rate is available.
Chico
California · 46705
Office
Unavailable
Facility
$576.64
No comparable office rate is available.
El Centro
California · 46705
Office
Unavailable
Facility
$576.96
No comparable office rate is available.
Fresno
California · 46705
Office
Unavailable
Facility
$576.64
No comparable office rate is available.
Hanford-Corcoran
California · 46705
Office
Unavailable
Facility
$576.64
No comparable office rate is available.
Madera
California · 46705
Office
Unavailable
Facility
$576.64
No comparable office rate is available.
Merced
California · 46705
Office
Unavailable
Facility
$576.64
No comparable office rate is available.
Modesto
California · 46705
Office
Unavailable
Facility
$576.64
No comparable office rate is available.
Napa
California · 46705
Office
Unavailable
Facility
$645.95
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 46705
Office
Unavailable
Facility
$608.15
No comparable office rate is available.
Redding
California · 46705
Office
Unavailable
Facility
$576.64
No comparable office rate is available.
Rest Of California
California · 46705
Office
Unavailable
Facility
$576.64
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 46705
Office
Unavailable
Facility
$597.32
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 46705
Office
Unavailable
Facility
$599.34
No comparable office rate is available.
Salinas
California · 46705
Office
Unavailable
Facility
$597.05
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 46705
Office
Unavailable
Facility
$607.19
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 46705
Office
Unavailable
Facility
$675.39
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 46705
Office
Unavailable
Facility
$673.19
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 46705
Office
Unavailable
Facility
$692.62
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 46705
Office
Unavailable
Facility
$683.66
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 46705
Office
Unavailable
Facility
$588.26
No comparable office rate is available.
Santa Cruz-Watsonville
California · 46705
Office
Unavailable
Facility
$609.76
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 46705
Office
Unavailable
Facility
$598.21
No comparable office rate is available.
Santa Rosa-Petaluma
California · 46705
Office
Unavailable
Facility
$615.45
No comparable office rate is available.
Stockton
California · 46705
Office
Unavailable
Facility
$576.64
No comparable office rate is available.
Vallejo
California · 46705
Office
Unavailable
Facility
$642.79
No comparable office rate is available.
Visalia
California · 46705
Office
Unavailable
Facility
$576.64
No comparable office rate is available.
Yuba City
California · 46705
Office
Unavailable
Facility
$576.64
No comparable office rate is available.
Colorado
Colorado · 46705
Office
Unavailable
Facility
$582.58
No comparable office rate is available.
Connecticut
Connecticut · 46705
Office
Unavailable
Facility
$615.68
No comparable office rate is available.
Fort Lauderdale
Florida · 46705
Office
Unavailable
Facility
$632.10
No comparable office rate is available.
Rest Of Florida
Florida · 46705
Office
Unavailable
Facility
$597.04
No comparable office rate is available.
Atlanta
Georgia · 46705
Office
Unavailable
Facility
$594.51
No comparable office rate is available.
Rest Of Georgia
Georgia · 46705
Office
Unavailable
Facility
$559.69
No comparable office rate is available.
Hawaii, Guam
Hawaii · 46705
Office
Unavailable
Facility
$586.38
No comparable office rate is available.
Iowa
Iowa · 46705
Office
Unavailable
Facility
$514.66
No comparable office rate is available.
Idaho
Idaho · 46705
Office
Unavailable
Facility
$520.91
No comparable office rate is available.
East St. Louis
Illinois · 46705
Office
Unavailable
Facility
$620.25
No comparable office rate is available.
Rest Of Illinois
Illinois · 46705
Office
Unavailable
Facility
$589.28
No comparable office rate is available.
Suburban Chicago
Illinois · 46705
Office
Unavailable
Facility
$635.25
No comparable office rate is available.
Indiana
Indiana · 46705
Office
Unavailable
Facility
$523.64
No comparable office rate is available.
Kansas
Kansas · 46705
Office
Unavailable
Facility
$518.59
No comparable office rate is available.
Kentucky
Kentucky · 46705
Office
Unavailable
Facility
$541.03
No comparable office rate is available.
New Orleans
Louisiana · 46705
Office
Unavailable
Facility
$569.32
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 46705
Office
Unavailable
Facility
$542.72
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 46705
Office
Unavailable
Facility
$631.74
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 46705
Office
Unavailable
Facility
$581.60
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 46705
Office
Unavailable
Facility
$615.37
No comparable office rate is available.
Rest Of Maryland
Maryland · 46705
Office
Unavailable
Facility
$576.87
No comparable office rate is available.
Rest Of Maine
Maine · 46705
Office
Unavailable
Facility
$530.52
No comparable office rate is available.
Southern Maine
Maine · 46705
Office
Unavailable
Facility
$550.28
No comparable office rate is available.
Detroit
Michigan · 46705
Office
Unavailable
Facility
$611.26
No comparable office rate is available.
Rest Of Michigan
Michigan · 46705
Office
Unavailable
Facility
$561.31
No comparable office rate is available.
Minnesota
Minnesota · 46705
Office
Unavailable
Facility
$538.95
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 46705
Office
Unavailable
Facility
$558.53
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 46705
Office
Unavailable
Facility
$563.66
No comparable office rate is available.
Rest Of Missouri
Missouri · 46705
Office
Unavailable
Facility
$537.53
No comparable office rate is available.
Mississippi
Mississippi · 46705
Office
Unavailable
Facility
$522.11
No comparable office rate is available.
Montana**
Montana · 46705
Office
Unavailable
Facility
$576.37
No comparable office rate is available.
North Carolina
North Carolina · 46705
Office
Unavailable
Facility
$535.12
No comparable office rate is available.
North Dakota**
North Dakota · 46705
Office
Unavailable
Facility
$538.21
No comparable office rate is available.
Nebraska
Nebraska · 46705
Office
Unavailable
Facility
$515.60
No comparable office rate is available.
New Hampshire
New Hampshire · 46705
Office
Unavailable
Facility
$579.52
No comparable office rate is available.
Northern Nj
New Jersey · 46705
Office
Unavailable
Facility
$639.35
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 46705
Office
Unavailable
Facility
$617.29
No comparable office rate is available.
New Mexico
New Mexico · 46705
Office
Unavailable
Facility
$567.03
No comparable office rate is available.
Nevada**
Nevada · 46705
Office
Unavailable
Facility
$566.00
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 46705
Office
Unavailable
Facility
$698.29
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 46705
Office
Unavailable
Facility
$626.59
No comparable office rate is available.
Queens
New York · 46705
Office
Unavailable
Facility
$669.65
No comparable office rate is available.
Rest Of New York
New York · 46705
Office
Unavailable
Facility
$543.84
No comparable office rate is available.
Ohio
Ohio · 46705
Office
Unavailable
Facility
$553.51
No comparable office rate is available.
Oklahoma
Oklahoma · 46705
Office
Unavailable
Facility
$533.21
No comparable office rate is available.
Portland
Oregon · 46705
Office
Unavailable
Facility
$593.86
No comparable office rate is available.
Rest Of Oregon
Oregon · 46705
Office
Unavailable
Facility
$556.27
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 46705
Office
Unavailable
Facility
$604.37
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 46705
Office
Unavailable
Facility
$550.80
No comparable office rate is available.
Puerto Rico
Puerto Rico · 46705
Office
Unavailable
Facility
$578.50
No comparable office rate is available.
Rhode Island
Rhode Island · 46705
Office
Unavailable
Facility
$583.05
No comparable office rate is available.
South Carolina
South Carolina · 46705
Office
Unavailable
Facility
$546.29
No comparable office rate is available.
South Dakota**
South Dakota · 46705
Office
Unavailable
Facility
$533.70
No comparable office rate is available.
Tennessee
Tennessee · 46705
Office
Unavailable
Facility
$522.06
No comparable office rate is available.
Austin
Texas · 46705
Office
Unavailable
Facility
$585.31
No comparable office rate is available.
Beaumont
Texas · 46705
Office
Unavailable
Facility
$547.60
No comparable office rate is available.
Brazoria
Texas · 46705
Office
Unavailable
Facility
$561.82
No comparable office rate is available.
Dallas
Texas · 46705
Office
Unavailable
Facility
$568.44
No comparable office rate is available.
Fort Worth
Texas · 46705
Office
Unavailable
Facility
$566.58
No comparable office rate is available.
Galveston
Texas · 46705
Office
Unavailable
Facility
$565.45
No comparable office rate is available.
Houston
Texas · 46705
Office
Unavailable
Facility
$600.78
No comparable office rate is available.
Rest Of Texas
Texas · 46705
Office
Unavailable
Facility
$556.47
No comparable office rate is available.
Utah
Utah · 46705
Office
Unavailable
Facility
$553.71
No comparable office rate is available.
Virginia
Virginia · 46705
Office
Unavailable
Facility
$552.95
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 46705
Office
Unavailable
Facility
$578.50
No comparable office rate is available.
Vermont
Vermont · 46705
Office
Unavailable
Facility
$541.95
No comparable office rate is available.
Rest Of Washington
Washington · 46705
Office
Unavailable
Facility
$578.56
No comparable office rate is available.
Seattle (King Cnty)
Washington · 46705
Office
Unavailable
Facility
$638.13
No comparable office rate is available.
Wisconsin
Wisconsin · 46705
Office
Unavailable
Facility
$520.54
No comparable office rate is available.
West Virginia
West Virginia · 46705
Office
Unavailable
Facility
$568.89
No comparable office rate is available.
Wyoming**
Wyoming · 46705
Office
Unavailable
Facility
$559.74
No comparable office rate is available.
See how rates vary across the country
46705 · 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?
Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, 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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 46705 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$624.76
$567.96 × 110% = $624.76
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 46705 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
5,610
- Code
- 46705
- Physician work
- 7.24
- Practice expense
- 8.09
- Malpractice
- 1.93
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.24 | × 1.005 | 7.2762 |
| Practice expense | 8.09 | × 0.988 | 7.9929 |
| Malpractice | 1.93 | × 0.899 | 1.7351 |
| Total RVUs | 17.0042 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$567.96
Open 46705 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.24 | 1.005 |
| Practice expense | 8.09 | 0.988 |
| Malpractice | 1.93 | 0.899 |
(7.24 × 1.005 + 8.09 × 0.988 + 1.93 × 0.899) × $33.4009 = $567.96
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
46705 · 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 | $567.96 | RVU26D |
| 2026-07-01 | Not available in this setting | $567.96 | RVU26C |
| 2026-04-01 | Not available in this setting | $567.96 | RVU26B |
| 2026-01-01 | Not available in this setting | $567.96 | RVU26A |
| 2025-10-01 | Not available in this setting | $562.66 | RVU25D |
| 2025-07-01 | Not available in this setting | $562.66 | RVU25C |
| 2025-04-01 | Not available in this setting | $562.66 | RVU25B |
| 2025-01-01 | Not available in this setting | $562.66 | RVU25A |
46705 billing questions
How does this differ from 46700?
46705 applies when the anal stricture repair includes sphincterotomy. Use 46700 for the repair without sphincterotomy.
Is sphincterotomy separately reportable?
The sphincterotomy is part of the service represented by 46705. Do not separately report it as an additional procedure when it is performed as part of this repair.
What documentation supports reporting 46705?
Document the anal stricture and describe the operative repair, including that sphincterotomy was performed. The operative note should make clear that this was stricture treatment, not repair of a sphincter injury.
Can modifier 50 be used?
No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this code.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care for 90 days.
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.
5,60746614,,Anoscopy control bleeding,A,,0.98,4.35,,0.70,,0.16,5.49,1.84,0,000,0.00,0.00,0.00,3,0,1,0,0,9,46600,33.4009,09,0,99,0.00,0.00,0.00
5,60846615,,Anoscopy,A,,1.46,4.07,,0.84,,0.21,5.74,2.51,0,000,0.00,0.00,0.00,3,0,1,0,0,9,46600,33.4009,09,0,99,0.00,0.00,0.00
5,60946700,,Repair of anal stricture,A,,9.56,8.00,NA,8.00,,1.59,19.15,19.15,0,090,0.09,0.81,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,61046705,,Repair of anal stricture,A,,7.24,8.09,NA,8.09,,1.93,17.26,17.26,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,61146706,,Repr of anal fistula w/glue,A,,2.38,2.33,NA,2.33,,0.62,5.33,5.33,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,61246707,,Repair anorectal fist w/plug,A,,6.23,7.48,NA,7.48,,1.66,15.37,15.37,0,090,0.09,0.81,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,61346710,,Repr per/vag pouch sngl proc,A,,16.71,10.80,NA,10.80,,4.46,31.97,31.97,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503