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CPT 46706: Anal Fistula Repair with Fibrin Glue
CPT code 46706 represents a minimally invasive surgical technique for anal fistula repair that uses fibrin glue to occlude the fistula tract. The procedure offers a sphincter-sparing option that can reduce wound healing time and preserve continence compared with more invasive fistulotomy approaches. Nationally, interest in fibrin glue procedures centers on clinical outcomes, utilization patterns, and payer coverage policies that affect patient access to this specialized treatment.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. The publication outlines typical sites of service, clinical context for use, and the types of benchmarks and policy issues readers can expect. That includes coverage criteria variance among major payers, utilization benchmarks, and coding guidance to support accurate billing.
Readers will learn the clinical indications and procedural intent behind CPT code 46706, how major payers approach coverage and prior authorization (where applicable), and what performance and utilization benchmarks are relevant for ambulatory surgery and outpatient settings. The report also highlights emerging policy considerations tied to minimally invasive anorectal procedures and practical documentation points for coding clarity. Data not available in the input will be noted where applicable.
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Billing Code Overview
CPT code 46706 describes a procedure to repair an anal fistula by injecting fibrin glue into the fistula tract. The technique treats a small tunnel or tract that has an internal opening in the anal canal and an external opening in the skin near the anus.
Service type: Surgical/endoscopic fistula repair using biologic adhesive
Typical site of service: Ambulatory surgery center or hospital outpatient department, with possible performance in an office procedure setting depending on clinical complexity and facility capabilities.
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