CPT code 46230: Anal tag excision, multiple tags2026 Medicare rate & RVUs in South Dakota

In South Dakota, Medicare pays $331.71 for 46230 in the office and $155.69 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 46230 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 46230 covers

This procedure removes multiple external anal skin tags, which are folds of skin that may cause irritation or make hygiene difficult. A colorectal surgeon or other qualified clinician typically performs the excision in an office or outpatient surgical setting, using local or other appropriate anesthesia. The operative work is directed at the tags themselves, rather than removal of hemorrhoidal tissue or treatment of a fissure.

Report 46230 when multiple anal tags are excised; the operative note should identify the tags removed and document the procedure performed. A single anal papilla or tag is represented by the related single-tag code, 46220. The service has a 10-day global period, so related postoperative visits during that period are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service, and co-surgeon and team-surgery billing are not permitted.

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.

How South Dakota compares for 46230

Across 109 of 109 payment localities, the office rate for 46230 runs from $300.58 in Arkansas to $450.88 in San Benito County, CA. South Dakota pays $331.71. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

46230 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 46230 in every payment locality

How the 46230 rate is calculated

Each of 46230’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 46230

46230 has a 10-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

Codes related to 46230

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 46230 has changed in South Dakota

Price 46230 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Agar
• Agency Village
• Akaska
• Albee
• Alcester
• Alexandria
• Allen

Browse all communities in South Dakota

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates