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CPT code 46615: Anoscopy, lesion ablation2026 Medicare rate & RVUs in Connecticut

Anoscopy with lesion ablation treats one or more anal canal lesions under direct visualization when tissue is destroyed rather than removed for pathology.

CMS RVU26DEffective Oct 1, 2026One payment locality270 Medicare services in 2024

In Connecticut, Medicare pays $204.64 for 46615 in the office and $88.44 when it’s performed in a hospital or facility.

$204.64Office (non-facility)
$88.44Hospital or facility
+6.7%vs the national office rate ($191.72)

Check a contract rate as a % of Medicare · 46615 nationwide

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

We’ll open 46615 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Connecticut
  2. What 46615 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 46615 covers

This service combines examination of the anal canal through an anoscope with destruction of one or more identified lesions. It may be used to treat anal condyloma or dysplastic lesions when the clinician selects an ablative approach, such as cautery or another method that destroys the target tissue. Colorectal surgeons and other clinicians trained in anorectal procedures commonly perform it in an office or procedure-room setting, or in a facility. It is distinct from a diagnostic anoscopy and from procedures that remove a lesion for examination as a specimen.

Report the service when documentation supports anoscopic visualization and treatment by ablation, and identifies the lesion or lesions treated. Do not select it merely because a lesion was observed or sampled; biopsy and removal methods have separate codes. The service has a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, CMS endoscopy-family pricing applies. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service, and co-surgery and team surgery 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 Connecticut compares for 46615

Across 109 of 109 payment localities, the office rate for 46615 runs from $169.15 in Arkansas to $253.92 in San Benito County, CA. Connecticut pays $204.64. The RVUs are the same everywhere; the geographic indexes change the dollars.

46615 in Connecticut vs other payment areas
  1. Connecticut · this page$204.64
  2. Los Angeles, CA · California$216.24+$11.60
  3. Washington, DC area · District of Columbia$219.34+$14.70
  4. Miami, FL · Florida$208.02+$3.38
  5. Chicago, IL · Illinois$201.83−$2.81
  6. Manhattan, NY · New York$220.98+$16.34
  7. Alaska · Alaska$221.79+$17.15

Other areas in Connecticut first, then benchmark localities. Bars start at $0.

Every other payment area

46615 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$171.68$77.29
ArkansasArkansas$169.15$76.48
ArizonaArizona$186.50$81.96
Bakersfield, CACalifornia$202.96$84.71
Chico, CACalifornia$202.35$84.10
El Centro, CACalifornia$202.38$84.14
Fresno, CACalifornia$202.35$84.10
Hanford, CACalifornia$202.35$84.10

46615 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$169.15

$228.14

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
46615 office rate range by state
State / territoryOffice rate rangeLocalities
AK$221.791
AL$171.681
AR$169.151
AZ$186.501
CA$202.35–$253.9229
CO$199.471
CT$204.641
DC$219.341
DE$189.631
FL$189.27–$208.023
GA$178.39–$195.452
GU$207.391
HI$207.391
IA$175.941
ID$177.151
IL$183.84–$201.834
IN$178.191
KS$175.191
KY$176.041
LA$175.79–$184.652
MA$198.28–$219.322
MD$193.26–$219.343
ME$178.19–$187.912
MI$180.80–$191.772
MN$190.731
MO$172.78–$185.213
MS$170.991
MT$191.711
NC$180.081
ND$187.551
NE$176.891
NH$196.421
NJ$206.86–$217.022
NM$181.851
NV$190.691
NY$182.84–$226.555
OH$179.951
OK$175.611
OR$189.09–$205.802
PA$180.19–$199.532
PR$193.111
RI$196.381
SC$180.341
SD$187.061
TN$176.101
TX$178.99–$198.908
UT$182.851
VA$187.35–$219.342
VI$193.111
VT$186.901
WA$197.88–$223.732
WI$181.161
WV$176.941
WY$189.901

See 46615 in every payment locality

How the 46615 rate is calculated

Each of 46615’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.

How the rate is built · 46615

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.46

1.46 RVUs× 1.000 GPCI

Practice expense4.07

4.07 RVUs× 1.000 GPCI

Malpractice0.21

0.21 RVUs× 1.000 GPCI

Adjusted RVUs

5.7400

Conversion factor

$33.4009

Medicare rate

$191.72

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Connecticut inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

5,608

Code
46615
Physician work
1.46
Practice expense
4.07
Malpractice
0.21

GPCI2026.csv

38

Locality
Connecticut
Physician work
1.020
Practice expense
1.077
Malpractice
1.210
Office calculation for 46615 in Connecticut
ComponentRVULocality factorAdjusted
Physician work1.46× 1.0201.4892
Practice expense4.07× 1.0774.3834
Malpractice0.21× 1.2100.2541
Total RVUs6.1267
Conversion factor× 33.4009

Office rate, Connecticut$204.64

Office: (1.46 × 1.02 + 4.07 × 1.077 + 0.21 × 1.21) × $33.4009 = $204.64

Facility: (1.46 × 1.02 + 0.84 × 1.077 + 0.21 × 1.21) × $33.4009 = $88.44

Open 46615 in the RVU calculator

Payment rules and modifiers for 46615

The CMS indicators that decide how 46615 is paid alongside other services.

CMS payment indicators · 46615

Anoscopy, lesion ablation

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures3Endoscopy family rules apply.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

46615 without 51 · national office

$191.72

Anoscopy, lesion ablation

46615-51 · Second procedure: 50%

$95.86

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

Codes related to 46615

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

Codes related to 46615
CodeHow it relatesOffice range, Connecticut
Same family
46600Diagnostic anoscopy, standard visualization, optional washingDiagnostic anoscopy without lesion ablation.$138.18
46601Anoscopy, high-resolution, without biopsyDiagnostic anoscopy with a distinct examination approach.$176.75
46606Anoscopy biopsy, biopsy performedAnoscopy with biopsy rather than ablation.$329.25
46607Anoscopy, high-resolution exam with biopsyDiagnostic anoscopy with biopsy.$245.81
46610Anoscopy, hot forceps or bipolar cauteryAnoscopic removal of a lesion using a specified technique.$328.15
46612Anoscopy, lesion removal by excisionAnoscopic removal of multiple lesions using a specified technique.$393.93
46614Anoscopy, bleeding controlAnoscopy performed to control bleeding.$196.34

How 46615 has changed in Connecticut

46615 · Office / nonfacility

$204.64

Effective 2026-10-01

The base rate is $23.34 higher than on 2025-10-01, moving from $181.30 to $204.64 (12.9%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $181.30changed to$204.64

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.50 changed to 1.46
    • Practice expense RVU 3.50 changed to 4.07
    • Work GPCI 1.022 changed to 1.020
    • Practice expense GPCI 1.091 changed to 1.077
    • Malpractice GPCI 1.207 changed to 1.210

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $190.57changed to$181.30

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 3.61 changed to 3.50

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $187.46changed to$190.57

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $195.92changed to$187.46

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 3.66 changed to 3.61
    • Malpractice RVU 0.19 changed to 0.21
    • Work GPCI 1.030 changed to 1.022
    • Practice expense GPCI 1.102 changed to 1.091
    • Malpractice GPCI 1.070 changed to 1.207

  5. January 1, 2023

    RVU23A

    $207.17changed to$195.92

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 3.81 changed to 3.66
    • Malpractice RVU 0.20 changed to 0.19
    • Work GPCI 1.037 changed to 1.030
    • Practice expense GPCI 1.114 changed to 1.102
    • Malpractice GPCI 0.934 changed to 1.070

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $203.12changed to$207.17

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 3.67 changed to 3.81
    • Malpractice RVU 0.19 changed to 0.20

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $180.08changed to$203.12

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.89 changed to 3.67
    • Malpractice RVU 0.21 changed to 0.19
    • Work GPCI 1.029 changed to 1.037
    • Practice expense GPCI 1.113 changed to 1.114
    • Malpractice GPCI 1.094 changed to 0.934

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $170.19changed to$180.08

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.61 changed to 2.89
    • Malpractice RVU 0.23 changed to 0.21
    • Work GPCI 1.021 changed to 1.029
    • Practice expense GPCI 1.112 changed to 1.113
    • Malpractice GPCI 1.255 changed to 1.094

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $162.16changed to$170.19

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.38 changed to 2.61
    • Malpractice RVU 0.26 changed to 0.23

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $160.17changed to$162.16

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.31 changed to 2.38
    • Malpractice RVU 0.28 changed to 0.26
    • Work GPCI 1.023 changed to 1.021
    • Practice expense GPCI 1.117 changed to 1.112
    • Malpractice GPCI 1.244 changed to 1.255

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $160.86changed to$160.17

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.33 changed to 2.31
    • Work GPCI 1.024 changed to 1.023
    • Practice expense GPCI 1.121 changed to 1.117
    • Malpractice GPCI 1.232 changed to 1.244

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $162.25changed to$160.86

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 2.35 changed to 2.33

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $161.44changed to$162.25

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $160.55changed to$161.44

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 2.33 changed to 2.35
    • Practice expense GPCI 1.116 changed to 1.121
    • Malpractice GPCI 1.234 changed to 1.232

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $163.01changed to$160.55

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 2.61 changed to 2.33
    • Malpractice RVU 0.29 changed to 0.28
    • Practice expense GPCI 1.110 changed to 1.116
    • Malpractice GPCI 1.235 changed to 1.234

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $163.01

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$204.64$88.44RVU26D
2026-07-01$204.64$88.44RVU26C
2026-04-01$204.64$88.44RVU26B
2026-01-01$204.64$88.44RVU26A
2025-10-01$181.30$93.43RVU25D
2025-07-01$181.30$93.43RVU25C
2025-04-01$181.30$93.43RVU25B
2025-01-01$181.30$93.43RVU25A
2024-10-01$190.57$95.78RVU24D
2024-07-01$190.57$95.78RVU24C
2024-04-01$190.57$95.78RVU24B
2024-03-09$190.57$95.78RVU24AR
2024-01-01$187.46$94.22RVU24A
2023-10-01$195.92$95.84RVU23D
2023-07-01$195.92$95.84RVU23C
2023-04-01$195.92$95.84RVU23B
2023-01-01$195.92$95.84RVU23A
2022-10-01$207.17$98.46RVU22D
2022-07-01$207.17$98.46RVU22C
2022-04-01$207.17$98.46RVU22B
2022-01-01$207.17$98.46RVU22A
2021-10-01$203.12$98.17RVU21D
2021-07-01$203.12$98.17RVU21C
2021-04-01$203.12$98.17RVU21B
2021-01-01$203.12$98.17RVU21A
2020-10-01$180.08$101.35RVU20D
2020-07-01$180.08$101.35RVU20C
2020-04-01$180.08$101.35RVU20B
2020-01-01$180.08$101.35RVU20A
2019-10-01$170.19$102.07RVU19D
2019-07-01$170.19$102.07RVU19C
2019-04-01$170.19$102.07RVU19B
2019-01-01$170.19$102.07RVU19A
2018-10-01$162.16$103.31RVU18D
2018-07-01$162.16$103.31RVU18C
2018-04-01$162.16$103.31RVU18B
2018-01-01$162.16$103.31RVU18AR1
2017-10-01$160.17$103.65RVU17D
2017-07-01$160.17$103.65RVU17C
2017-04-01$160.17$103.65RVU17B
2017-01-01$160.17$103.65RVU17A
2016-10-01$160.86$103.47RVU16D
2016-07-01$160.86$103.47RVU16C
2016-04-01$160.86$103.47RVU16B
2016-01-01$160.86$103.47RVU16A
2015-10-01$162.25$104.25RVU15D
2015-07-01$162.25$104.25RVU15C
2015-04-01$161.44$103.73RVU15B
2015-01-01$161.44$103.73RVU15A
2014-10-01$160.55$103.78RVU14D
2014-07-01$160.55$103.78RVU14C
2014-04-01$160.55$103.78RVU14B
2014-01-01$160.55$103.78RVU14A
2013-10-01$163.01$101.83RVU13D
2013-07-01$163.01$101.83RVU13C
2013-04-01$163.01$101.83RVU13B
2013-01-01$163.01$101.83RVU13AR

Price 46615 for an earlier date of service

Where the Connecticut rate applies

Connecticut is a Medicare payment area, not a city. Our Census mapping connects it to 215 cities and communities in Connecticut. Some span more than one payment area; confirm with the service ZIP.

  • Ansonia
  • Ball Pond
  • Baltic
  • Bantam
  • Bethel
  • Bethlehem Village
  • Bigelow Corners
  • Blue Hills

Browse all communities in Connecticut

46615 billing questions

How is this different from diagnostic anoscopy?

This code is for anoscopy that includes ablation of one or more lesions. Use a diagnostic anoscopy code when the examination is performed without lesion ablation.

Can this code be reported when a lesion is biopsied?

The service described here is ablation, not biopsy. If tissue is sampled or removed for pathology, select the code that matches the documented biopsy or removal technique rather than treating this as a biopsy code.

How does it differ from anoscopic lesion removal?

Choose an anoscopic removal code when the clinician removes a lesion using the technique specified by that code. This code describes destruction of lesion tissue by ablation.

What documentation supports reporting it?

Document anoscopic visualization, the lesion or lesions treated, and the ablative treatment performed. The note should distinguish ablation from biopsy or physical removal.

What happens when another related endoscopy is performed at the same session?

CMS endoscopy-family pricing applies when related endoscopies are performed together. The claim should reflect the services actually performed and their relationship.

Can modifier 50 or an assistant-at-surgery modifier be used?

Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery for the service; co-surgeons and team surgery are not permitted.

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

Show the CMS file lines behind this rate
RVUs for 46615PPRRVU2026_Oct_nonQPP.csv, line 5,608 (RVU26D)
Geographic factors for ConnecticutGPCI2026.csv, line 38 (RVU26D)

Open CMS sourceHow we calculate rates

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