CPT code 46910: Anal lesion destruction, extensive lesions2026 Medicare rate & RVUs in South Dakota

In South Dakota, Medicare pays $289.95 for 46910 in the office and $123.28 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 46910 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 46910 covers

This code represents extensive destruction of lesions on the anus, rather than removal by excision. Typical targets include anal condylomas or papillomas. A colorectal or general surgeon commonly performs the procedure in an office procedure room, ambulatory setting, or operating room, depending on the extent of treatment and the patient’s needs.

Choose this code when the operative or procedure note supports extensive lesion destruction; use the documented treatment method, lesion distribution, and scope to distinguish it from simple destruction or codes naming a specific technique. The note should identify the anal lesions treated and describe the extent of treatment. Medicare assigns 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 other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this code; 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 South Dakota compares for 46910

Across 109 of 109 payment localities, the office rate for 46910 runs from $260.09 in Arkansas to $397.99 in San Benito County, CA. South Dakota pays $289.95. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

46910 rates by state

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

See 46910 in every payment locality

How the 46910 rate is calculated

Each of 46910’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 46910

46910 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 46910

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

How 46910 has changed in South Dakota

Price 46910 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