CPT code 46060: Abscess drainage2026 Medicare rate & RVUs in Oklahoma
Drainage of an ischiorectal or intramural abscess with surgical treatment of an associated fistula, including seton placement when performed.
CMS doesn’t publish an office rate for 46060 in Oklahoma.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
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.
46060 in Oklahoma
| Payment locality | Office | Facility |
|---|---|---|
| Oklahoma | Unavailable | $456.60 |
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.
How the rate is built · 46060
RVUs × geographic indexes × conversion factor
Work6.21
6.21 RVUs× 1.000 GPCI
Practice expense7.31
7.31 RVUs× 1.000 GPCI
Malpractice1.20
1.20 RVUs× 1.000 GPCI
Adjusted RVUs
14.7200
Conversion factor
$33.4009
Medicare rate
$491.66
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 46060
46060 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 46060
Abscess drainage
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.81/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 46060
Abscess drainage
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
46060 without 51 · national facility
$491.66
Abscess drainage
46060-51 · Second procedure: 50%
$245.83
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
46060 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 46040Abscess drainage
- Choose 46060 when the abscess operation also treats an associated fistula by fistulotomy or fistulectomy. Choose 46040 for drainage without that fistula treatment.
- 46045Abscess drainage
- 46045 describes transanal abscess drainage under anesthesia. 46060 is the combined ischiorectal or intramural abscess and fistula operation.
- 46050Perianal abscess drainage
- 46050 is for a superficial perianal abscess. 46060 involves a deeper ischiorectal or intramural abscess with fistula treatment.
- 46020Seton placement
- 46020 is for seton placement alone; 46060 includes seton placement when performed during the combined abscess drainage and fistula treatment.
46060 billing questions
How is 46060 different from 46040?
46060 includes surgical treatment of an associated fistula along with abscess drainage. Use 46040 for ischiorectal or perirectal abscess drainage without the fistulotomy or fistulectomy service.
Is seton placement separately reported with 46060?
Seton placement is included when performed as part of the 46060 operation. For seton placement without the combined abscess-drainage and fistula-treatment service, consider 46020.
What documentation supports 46060?
Document the abscess location, the associated fistula tract, and the drainage and fistula work performed. Note seton placement if performed.
Can modifier 50 be used for bilateral disease?
No. The CMS bilateral adjustment does not apply to 46060, and modifier 50 is inappropriate for this code.
How does the global period affect follow-up billing?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. Unrelated services are not described by that inclusion.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for 46060. Co-surgeons and team surgery are 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 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
Show the CMS file lines behind this rate
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