CPT code 46730 denotes surgical repair of a high imperforate anus without fistula, performed by perineal or sacroperineal approach. This congenital anorectal reconstruction is typically performed in an operating room setting, most often as an inpatient procedure for neonates or infants requiring definitive correction. Nationally, the code matters because it captures a specialized pediatric surgical service with implications for hospital surgical capacity, perioperative care pathways, and bundled payment or case-rate arrangements for complex congenital repairs.

Key payers in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find clinical context about the procedure, guidance on expected site-of-service patterns, and where to look for payer-specific coverage and authorization policies. The publication also summarizes common billing considerations, such as the surgical nature of the service and typical hospitalization, and outlines topics relevant to reimbursement benchmarking and policy updates affecting specialized pediatric surgical care.

This brief provides national-level context for clinicians, coding professionals, and revenue leaders seeking a concise reference to CPT code 46730, what it represents clinically, and the payer landscape relevant to this type of anorectal malformation repair.