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

Reports destruction of simple anal lesions, such as condyloma, when the service treats limited lesions rather than extensive disease or removes tissue by excision.

CMS RVU26DEffective Oct 1, 2026One payment locality692 Medicare services in 2024

In Merced, CA, Medicare pays $284.55 for 46900 in the office and $135.19 when it’s performed in a hospital or facility.

$284.55Office (non-facility)
$135.19Hospital or facility
+6.0%vs the national office rate ($268.54)

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.

We’ll open 46900 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Merced, CA
  2. What 46900 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 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 Merced, CA 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. Merced, CA pays $284.55. The RVUs are the same everywhere; the geographic indexes change the dollars.

46900 in Merced, CA vs other payment areas
  1. Merced, CA · this page$284.55
  2. Bakersfield, CA · California$285.31+$0.76
  3. Chico, CA · California$284.55
  4. El Centro, CA · California$284.60+$0.05
  5. Fresno, CA · California$284.55
  6. Hanford, CA · California$284.55
  7. Los Angeles, CA · California$304.36+$19.81

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

Every other payment area

46900 in every other Medicare payment locality
Payment localityOfficeFacility
Madera, CACalifornia$284.55$135.19
Modesto, CACalifornia$284.55$135.19
Napa, CACalifornia$331.06$151.45
Oxnard, CACalifornia$303.00$141.92
Redding, CACalifornia$284.55$135.19
Rest of CaliforniaCalifornia$284.55$135.19
Riverside, CACalifornia$287.37$138.01
Sacramento, CACalifornia$298.98$140.49

46900 rates by state

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

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.

$236.45

$321.65

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

View every state and territory as a table
46900 office rate range by state
State / territoryOffice rate rangeLocalities
AK$308.561
AL$240.061
AR$236.451
AZ$261.161
CA$284.55–$358.7529
CO$280.041
CT$286.831
DC$308.081
DE$265.601
FL$264.21–$289.933
GA$248.86–$273.642
GU$291.981
HI$291.981
IA$246.501
ID$248.151
IL$256.23–$281.214
IN$249.651
KS$245.251
KY$245.861
LA$245.44–$258.062
MA$278.25–$308.502
MD$270.83–$308.083
ME$249.44–$263.562
MI$252.46–$267.582
MN$268.161
MO$241.03–$259.073
MS$238.791
MT$268.531
NC$252.161
ND$263.381
NE$247.921
NH$275.561
NJ$290.06–$304.692
NM$253.881
NV$267.291
NY$256.08–$317.335
OH$251.411
OK$245.451
OR$265.17–$289.262
PA$251.85–$279.442
PR$270.591
RI$275.311
SC$252.211
SD$262.781
TN$246.531
TX$250.13–$279.158
UT$255.791
VA$262.63–$308.082
VI$270.591
VT$262.281
WA$277.76–$314.952
WI$254.231
WV$246.381
WY$266.291

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.

How the rate is built · 46900

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.86

1.86 RVUs× 1.000 GPCI

Practice expense5.92

5.92 RVUs× 1.000 GPCI

Malpractice0.26

0.26 RVUs× 1.000 GPCI

Adjusted RVUs

8.0400

Conversion factor

$33.4009

Medicare rate

$268.54

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

The exact Merced, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

5,630

Code
46900
Physician work
1.86
Practice expense
5.92
Malpractice
0.26

GPCI2026.csv

15

Locality
Merced, CA
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office calculation for 46900 in Merced, CA
ComponentRVULocality factorAdjusted
Physician work1.86× 1.0171.8916
Practice expense5.92× 1.0966.4883
Malpractice0.26× 0.5360.1394
Total RVUs8.5193
Conversion factor× 33.4009

Office rate, Merced, CA$284.55

Office: (1.86 × 1.017 + 5.92 × 1.096 + 0.26 × 0.536) × $33.4009 = $284.55

Facility: (1.86 × 1.017 + 1.84 × 1.096 + 0.26 × 0.536) × $33.4009 = $135.19

Open 46900 in the RVU calculator

Payment rules and modifiers for 46900

46900 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 46900

Anal lesion destruction, simple lesions

RuleCMS valueWhat it means
Global period010Minor procedure: the day of the procedure plus 10 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
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.
Split (54/55/56)0.10/0.80/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 46900

Anal lesion destruction, simple lesions

10-day global period ends

Oct 11, 2026

Covers Oct 1, 2026 through Oct 11, 2026 (11 days).

Visit on Oct 31, 2026

After the global period ends: visits and procedures are billed normally.

SurgeryVisit
Sep 28, 2026Oct 14, 2026

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

46900 without 51 · national office

$268.54

Anal lesion destruction, simple lesions

46900-51 · Second procedure: 50%

$134.27

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

How 46900 has changed in Merced, CA

46900 · Office / nonfacility

$284.55

Effective 2026-10-01

The base rate is $36.00 higher than on 2025-10-01, moving from $248.55 to $284.55 (14.5%).

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

    $248.55changed to$284.55

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.91 changed to 1.86
    • Practice expense RVU 5.12 changed to 5.92
    • Malpractice RVU 0.27 changed to 0.26
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $254.14changed to$248.55

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 5.08 changed to 5.12
    • Malpractice RVU 0.26 changed to 0.27

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $249.99changed to$254.14

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $254.74changed to$249.99

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 5.02 changed to 5.08
    • Work GPCI 1.021 changed to 1.014
    • Practice expense GPCI 1.079 changed to 1.093
    • Malpractice GPCI 0.579 changed to 0.560
  5. January 1, 2023

    RVU23A

    $256.59changed to$254.74

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 4.98 changed to 5.02
    • Malpractice RVU 0.25 changed to 0.26
    • Work GPCI 1.027 changed to 1.021
    • Practice expense GPCI 1.065 changed to 1.079
    • Malpractice GPCI 0.597 changed to 0.579

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $259.09changed to$256.59

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 4.99 changed to 4.98

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $253.48changed to$259.09

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 4.59 changed to 4.99
    • Malpractice RVU 0.27 changed to 0.25
    • Work GPCI 1.024 changed to 1.027
    • Practice expense GPCI 1.070 changed to 1.065
    • Malpractice GPCI 0.580 changed to 0.597

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $252.95changed to$253.48

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 4.58 changed to 4.59
    • Work GPCI 1.020 changed to 1.024
    • Practice expense GPCI 1.074 changed to 1.070
    • Malpractice GPCI 0.562 changed to 0.580

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $260.02changed to$252.95

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 4.77 changed to 4.58

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $259.10changed to$260.02

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 4.72 changed to 4.77
    • Malpractice RVU 0.28 changed to 0.27
    • Work GPCI 1.024 changed to 1.020
    • Practice expense GPCI 1.079 changed to 1.074
    • Malpractice GPCI 0.610 changed to 0.562

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    No ratechanged to$259.10

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$284.55$135.19RVU26D
2026-07-01$284.55$135.19RVU26C
2026-04-01$284.55$135.19RVU26B
2026-01-01$284.55$135.19RVU26A
2025-10-01$248.55$138.95RVU25D
2025-07-01$248.55$138.95RVU25C
2025-04-01$248.55$138.95RVU25B
2025-01-01$248.55$138.95RVU25A
2024-10-01$254.14$141.35RVU24D
2024-07-01$254.14$141.35RVU24C
2024-04-01$254.14$141.35RVU24B
2024-03-09$254.14$141.35RVU24AR
2024-01-01$249.99$139.05RVU24A
2023-10-01$254.74$141.75RVU23D
2023-07-01$254.74$141.75RVU23C
2023-04-01$254.74$141.75RVU23B
2023-01-01$254.74$141.75RVU23A
2022-10-01$256.59$141.97RVU22D
2022-07-01$256.59$141.97RVU22C
2022-04-01$256.59$141.97RVU22B
2022-01-01$256.59$141.97RVU22A
2021-10-01$259.09$140.91RVU21D
2021-07-01$259.09$140.91RVU21C
2021-04-01$259.09$140.91RVU21B
2021-01-01$259.09$140.91RVU21A
2020-10-01$253.48$143.43RVU20D
2020-07-01$253.48$143.43RVU20C
2020-04-01$253.48$143.43RVU20B
2020-01-01$253.48$143.43RVU20A
2019-10-01$252.95$143.03RVU19D
2019-07-01$252.95$143.03RVU19C
2019-04-01$252.95$143.03RVU19B
2019-01-01$252.95$143.03RVU19A
2018-10-01$260.02$143.64RVU18D
2018-07-01$260.02$143.64RVU18C
2018-04-01$260.02$143.64RVU18B
2018-01-01$260.02$143.64RVU18AR1
2017-10-01$259.10$144.48RVU17D
2017-07-01$259.10$144.48RVU17C
2017-04-01$259.10$144.48RVU17B
2017-01-01$259.10$144.48RVU17A
2016-10-01Rate data unavailableRate data unavailableRVU16D
2016-07-01Rate data unavailableRate data unavailableRVU16C
2016-04-01Rate data unavailableRate data unavailableRVU16B
2016-01-01Rate data unavailableRate data unavailableRVU16A
2015-10-01Rate data unavailableRate data unavailableRVU15D
2015-07-01Rate data unavailableRate data unavailableRVU15C
2015-04-01Rate data unavailableRate data unavailableRVU15B
2015-01-01Rate data unavailableRate data unavailableRVU15A
2014-10-01Rate data unavailableRate data unavailableRVU14D
2014-07-01Rate data unavailableRate data unavailableRVU14C
2014-04-01Rate data unavailableRate data unavailableRVU14B
2014-01-01Rate data unavailableRate data unavailableRVU14A
2013-10-01Rate data unavailableRate data unavailableRVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 46900 for an earlier date of service

Where the Merced, CA rate applies

Merced, CA is a Medicare payment area, not a city. Our Census mapping connects it to 24 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • Merced
  • Atwater
  • Ballico
  • Bear Creek
  • Cressey
  • Delhi
  • Dos Palos
  • Dos Palos Y

Browse all communities in California

46900 billing questions

How do I distinguish this code from 46910?

Use 46900 for simple anal lesion destruction. Code 46910 represents the more extensive level, so document the scope and extent that support the selected level.

When would 46916 or 46917 be more appropriate?

Those codes identify cryosurgery and laser surgery, respectively. Choose the code that reflects the documented destruction method rather than reporting 46900 for those technique-specific services.

Is excision of an anal lesion reported with 46900?

No. When the lesion is cut out and removed, consider 46922; 46900 describes destruction rather than excision.

Are related postoperative visits separately reported?

Related postoperative visits during the 10-day global period are included in the procedure payment.

Can modifier 50 be used for lesions on both sides?

No. Modifier 50 is inappropriate for this anal-site service.

Can an assistant or co-surgeon be billed?

Medicare does not pay an assistant at surgery for this 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 46900PPRRVU2026_Oct_nonQPP.csv, line 5,630 (RVU26D)
Geographic factors for Merced, CAGPCI2026.csv, line 15 (RVU26D)

Open CMS sourceHow we calculate rates

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