No office rate
46700 addresses an anal stricture. Choose 46750 when the operative target is repair of the anal sphincter for incontinence.
On this page
CMS RVU26D · Effective 2026-10-01
46750 Anal sphincter repair Medicare reimbursement rates in Oklahoma
Reports operative repair of the anal sphincter to address fecal incontinence associated with sphincter injury or a defect. Compare 46750 office and facility rates across CMS payment localities in Oklahoma.
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.
What does Medicare pay for 46750 in Oklahoma?
Oklahoma has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$647.91
1 of 1 localities have a supported rate.
Payment area: Oklahoma
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Anorectal surgery
About 46750: Anal sphincteroplasty for incontinence
Reports operative repair of the anal sphincter to address fecal incontinence associated with sphincter injury or a defect.
This operation restores continuity or function of the anal sphincter when a defect contributes to fecal incontinence. A colorectal surgeon or other surgeon experienced in anorectal procedures may perform it, commonly in a hospital or outpatient surgical facility. The operative approach and repair method depend on the defect and the surgeon’s plan; the service is distinct from surgery directed at an anal stricture or fistula.
Report the code when the operative record supports repair of the anal sphincter for incontinence, including the identified defect and work performed. CMS assigns a 90-day global period, which includes 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 multiple-procedure reduction. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 46750
- 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 RVU11.85 · 58%
- Practice expense (office) RVU6.66 · 32%
- Malpractice RVU2.06 · 10%
499
Medicare services in 2024 · #3565 by national volume
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.
46750 compared with similar codes
Office rates for Oklahoma, from the same CMS release.
No office rate
46706 describes fistula treatment using glue. It is not the code for sphincter repair performed to address incontinence.
No office rate
46707 describes fistula treatment using a plug. Use 46750 when the documented operation repairs the anal sphincter.
No office rate
46753 describes reconstruction of the anus. 46750 is directed specifically to anal sphincter repair for incontinence.
Compare 46750 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Oklahoma →
Office / nonfacility
Unavailable
Facility
$647.91
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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 46750 in Oklahoma.
PPRRVU2026_Oct_nonQPP.csv
5,624
- Code
- 46750
- Physician work
- 11.85
- Practice expense
- 6.66
- Malpractice
- 2.06
GPCI2026.csv
86
- Locality
- Oklahoma
- Physician work
- 1.000
- Practice expense
- 0.893
- Malpractice
- 0.777
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 11.85 | × 1.000 | 11.8500 |
| Practice expense | 6.66 | × 0.893 | 5.9474 |
| Malpractice | 2.06 | × 0.777 | 1.6006 |
| Total RVUs | 19.3980 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Oklahoma$647.91
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 11.85 | 1 |
| Practice expense | 6.66 | 0.893 |
| Malpractice | 2.06 | 0.777 |
(11.85 × 1 + 6.66 × 0.893 + 2.06 × 0.777) × $33.4009 = $647.91
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.
46750 billing questions
When is 46750 appropriate instead of an anal fistula repair code?
Use 46750 for operative repair of the anal sphincter to address incontinence. Codes for fistula repair describe treatment of a fistulous tract, not sphincter repair alone.
What documentation supports reporting 46750?
The operative report should describe the sphincter defect or injury, its relationship to incontinence, and the repair performed.
Can modifier 50 be appended?
No. CMS identifies bilateral adjustment as inappropriate for this code.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How does CMS handle another procedure performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.
May an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; 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.
5,62146744,,Repair of cloacal anomaly,A,,57.47,26.06,NA,26.06,,15.39,98.92,98.92,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,62246746,,Repair of cloacal anomaly,A,,63.80,27.76,NA,27.76,,17.08,108.64,108.64,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,62346748,,Repair of cloacal anomaly,A,,69.63,29.17,NA,29.17,,18.65,117.45,117.45,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,62446750,,Repair of anal sphincter,A,,11.85,6.66,NA,6.66,,2.06,20.57,20.57,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,62546751,,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
8311502,NC,00,NORTH CAROLINA,1.000,0.933,0.639
8403302,ND,01,NORTH DAKOTA**,1.000,1.000,0.406
8515202,OH,00,OHIO,1.000,0.913,1.008
8604312,OK,00,OKLAHOMA,1.000,0.893,0.777
8702302,OR,01,PORTLAND,1.016,1.111,0.744
8802302,OR,99,REST OF OREGON,1.000,0.996,0.703
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193