CPT code 46200 denotes an operative procedure for excision of an anal fissure, with potential incision of the anal sphincter (sphincterotomy) to relieve sphincter spasm and promote healing. This code matters nationally because chronic anal fissures are a common anorectal complaint that can require definitive surgical management when conservative care fails; accurate coding affects clinical documentation, hospital and ambulatory surgical billing, and aggregated utilization metrics.

Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise clinical context for the procedure, common sites of service, and the typical surgical intent of fissure excision with or without internal sphincterotomy. The publication provides benchmarks and coding guidance coverage patterns when available, outlines commonly reported modifiers, and summarizes implications for facility and professional billing workflows.

This national overview is intended for revenue cycle leaders, colorectal and general surgeons, coding professionals, and policy analysts who need a compact reference to CPT code 46200, its clinical role, and its relevance to payer coverage and billing practices. Data not available in the input is noted where specific payer policies, ICD-10 pairings, and related codes would normally appear.