CPT code 46900: Anal lesion destruction, simple lesions2026 Medicare rate & RVUs in Alaska

In Alaska, Medicare pays $308.56 for 46900 in the office and $163.43 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 46900 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 46900 covers

This code covers destruction of simple lesions on the anus, including lesions such as condyloma, papilloma, or molluscum contagiosum. A colorectal or general surgeon commonly performs the service in an office or outpatient setting. The treatment destroys the lesion rather than removing it as a specimen for excisional pathology. The distinction from more extensive treatment and from technique-specific procedures is central to code selection.

Document the lesion location, number and extent, the destruction performed, and why the service meets the simple-lesion level. Report the code for the session’s service rather than treating each lesion as a separate unit. Related postoperative visits during the 10-day global period are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate for this anal-site service. Medicare does not pay an assistant at surgery, and co-surgeons 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 Alaska compares for 46900

Across 109 of 109 payment localities, the office rate for 46900 runs from $236.45 in Arkansas to $358.75 in San Benito County, CA. Alaska pays $308.56. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

46900 rates by state

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

See 46900 in every payment locality

How the 46900 rate is calculated

Each of 46900’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 46900

46900 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 46900

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

How 46900 has changed in Alaska

Price 46900 for an earlier date of service

Where the Alaska rate applies

Alaska is a Medicare payment area, not a city. Our Census mapping connects it to 355 cities and communities in Alaska. Some span more than one payment area; confirm with the service ZIP.

• Adak
• Akhiok
• Akiachak
• Akiak
• Akutan
• Alakanuk
• Alatna
• Alcan Border

Browse all communities in Alaska

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