CPT code 46715 denotes a surgical reconstruction for low imperforate anus or malformed anus, including closure of an anoperineal fistula, creation of an anal opening, and repositioning of the rectal pouch. This operation is a definitive corrective procedure for congenital anorectal malformations and has implications for surgical specialty services, pediatric surgical capacity, and postoperative care coordination nationwide.

Key payers considered in this analysis are Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise clinical context for the procedure, expected sites of service, and typical service classification. The publication summarizes common billing modifiers and highlights where data is not available in the input. It also outlines what to expect in coding practice for this class of anorectal reconstructive surgeries, including potential implications for coverage determination, setting of care, and claims processing.

This resource is intended to inform billing professionals, surgical clinicians, and policy analysts about the clinical scope of CPT code 46715, the typical care setting, and payer coverage landscape at a national level. Data not available in the input is noted where applicable.