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

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 Ohio, Medicare pays $179.95 for 46615 in the office and $81.45 when it’s performed in a hospital or facility.

$179.95Office (non-facility)
$81.45Hospital or facility
−6.1%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 Ohio
  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 Ohio 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. Ohio pays $179.95. The RVUs are the same everywhere; the geographic indexes change the dollars.

46615 in Ohio vs other payment areas
  1. Ohio · this page$179.95
  2. Los Angeles, CA · California$216.24+$36.29
  3. Washington, DC area · District of Columbia$219.34+$39.39
  4. Miami, FL · Florida$208.02+$28.07
  5. Chicago, IL · Illinois$201.83+$21.88
  6. Manhattan, NY · New York$220.98+$41.03
  7. Alaska · Alaska$221.79+$41.84

Other areas in Ohio 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 Ohio 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

85

Locality
Ohio
Physician work
1.000
Practice expense
0.913
Malpractice
1.008
Office calculation for 46615 in Ohio
ComponentRVULocality factorAdjusted
Physician work1.46× 1.0001.4600
Practice expense4.07× 0.9133.7159
Malpractice0.21× 1.0080.2117
Total RVUs5.3876
Conversion factor× 33.4009

Office rate, Ohio$179.95

Office: (1.46 × 1 + 4.07 × 0.913 + 0.21 × 1.008) × $33.4009 = $179.95

Facility: (1.46 × 1 + 0.84 × 0.913 + 0.21 × 1.008) × $33.4009 = $81.45

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, Ohio
Same family
46600Diagnostic anoscopy, standard visualization, optional washingDiagnostic anoscopy without lesion ablation.$119.53
46601Anoscopy, high-resolution, without biopsyDiagnostic anoscopy with a distinct examination approach.$156.76
46606Anoscopy biopsy, biopsy performedAnoscopy with biopsy rather than ablation.$284.28
46607Anoscopy, high-resolution exam with biopsyDiagnostic anoscopy with biopsy.$217.92
46610Anoscopy, hot forceps or bipolar cauteryAnoscopic removal of a lesion using a specified technique.$283.70
46612Anoscopy, lesion removal by excisionAnoscopic removal of multiple lesions using a specified technique.$340.32
46614Anoscopy, bleeding controlAnoscopy performed to control bleeding.$170.77

How 46615 has changed in Ohio

46615 · Office / nonfacility

$179.95

Effective 2026-10-01

The base rate is $21.28 higher than on 2025-10-01, moving from $158.67 to $179.95 (13.4%).

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

    $158.67changed to$179.95

    • 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
    • Practice expense GPCI 0.911 changed to 0.913
    • Malpractice GPCI 1.033 changed to 1.008

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $166.63changed to$158.67

    • 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

    $163.91changed to$166.63

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $170.79changed to$163.91

    • 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
    • Practice expense GPCI 0.912 changed to 0.911
    • Malpractice GPCI 1.063 changed to 1.033

  5. January 1, 2023

    RVU23A

    $179.86changed to$170.79

    • 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
    • Practice expense GPCI 0.913 changed to 0.912
    • Malpractice GPCI 1.094 changed to 1.063

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $176.51changed to$179.86

    • 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

    $157.52changed to$176.51

    • 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
    • Practice expense GPCI 0.915 changed to 0.913
    • Malpractice GPCI 1.049 changed to 1.094

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $148.64changed to$157.52

    • 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
    • Practice expense GPCI 0.917 changed to 0.915
    • Malpractice GPCI 1.005 changed to 1.049

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $141.97changed to$148.64

    • 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

    $139.98changed to$141.97

    • 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
    • Practice expense GPCI 0.918 changed to 0.917
    • Malpractice GPCI 0.999 changed to 1.005

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $140.24changed to$139.98

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.33 changed to 2.31
    • Malpractice GPCI 0.993 changed to 0.999

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $141.41changed to$140.24

    • 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

    $140.71changed to$141.41

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $141.98changed to$140.71

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 2.33 changed to 2.35
    • Practice expense GPCI 0.923 changed to 0.918
    • Malpractice GPCI 1.117 changed to 0.993

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $145.59changed to$141.98

    • 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 0.927 changed to 0.923
    • Malpractice GPCI 1.240 changed to 1.117

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $145.59

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$179.95$81.45RVU26D
2026-07-01$179.95$81.45RVU26C
2026-04-01$179.95$81.45RVU26B
2026-01-01$179.95$81.45RVU26A
2025-10-01$158.67$85.30RVU25D
2025-07-01$158.67$85.30RVU25C
2025-04-01$158.67$85.30RVU25B
2025-01-01$158.67$85.30RVU25A
2024-10-01$166.63$87.48RVU24D
2024-07-01$166.63$87.48RVU24C
2024-04-01$166.63$87.48RVU24B
2024-03-09$166.63$87.48RVU24AR
2024-01-01$163.91$86.05RVU24A
2023-10-01$170.79$87.96RVU23D
2023-07-01$170.79$87.96RVU23C
2023-04-01$170.79$87.96RVU23B
2023-01-01$170.79$87.96RVU23A
2022-10-01$179.86$90.76RVU22D
2022-07-01$179.86$90.76RVU22C
2022-04-01$179.86$90.76RVU22B
2022-01-01$179.86$90.76RVU22A
2021-10-01$176.51$90.49RVU21D
2021-07-01$176.51$90.49RVU21C
2021-04-01$176.51$90.49RVU21B
2021-01-01$176.51$90.49RVU21A
2020-10-01$157.52$92.80RVU20D
2020-07-01$157.52$92.80RVU20C
2020-04-01$157.52$92.80RVU20B
2020-01-01$157.52$92.80RVU20A
2019-10-01$148.64$92.46RVU19D
2019-07-01$148.64$92.46RVU19C
2019-04-01$148.64$92.46RVU19B
2019-01-01$148.64$92.46RVU19A
2018-10-01$141.97$93.45RVU18D
2018-07-01$141.97$93.45RVU18C
2018-04-01$141.97$93.45RVU18B
2018-01-01$141.97$93.45RVU18AR1
2017-10-01$139.98$93.52RVU17D
2017-07-01$139.98$93.52RVU17C
2017-04-01$139.98$93.52RVU17B
2017-01-01$139.98$93.52RVU17A
2016-10-01$140.24$93.24RVU16D
2016-07-01$140.24$93.24RVU16C
2016-04-01$140.24$93.24RVU16B
2016-01-01$140.24$93.24RVU16A
2015-10-01$141.41$93.91RVU15D
2015-07-01$141.41$93.91RVU15C
2015-04-01$140.71$93.44RVU15B
2015-01-01$140.71$93.44RVU15A
2014-10-01$141.98$95.03RVU14D
2014-07-01$141.98$95.03RVU14C
2014-04-01$141.98$95.03RVU14B
2014-01-01$141.98$95.03RVU14A
2013-10-01$145.59$94.49RVU13D
2013-07-01$145.59$94.49RVU13C
2013-04-01$145.59$94.49RVU13B
2013-01-01$145.59$94.49RVU13AR

Price 46615 for an earlier date of service

Where the Ohio rate applies

Ohio is a Medicare payment area, not a city. Our Census mapping connects it to 1265 cities and communities in Ohio. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Ada
  • Adamsville
  • Addyston
  • Adelphi
  • Adena
  • Ai
  • Akron

Browse all communities in Ohio

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 OhioGPCI2026.csv, line 85 (RVU26D)

Open CMS sourceHow we calculate rates

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