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CPT code 46916: Anal lesion treatment, cryosurgery, simple lesions2026 Medicare rate & RVUs in Los Angeles, CA

Reports simple destruction of anal lesion(s) by freezing, commonly for anal condylomata, when cryosurgery is the documented treatment method.

CMS RVU26DEffective Oct 1, 2026One payment locality561 Medicare services in 2024

In Los Angeles, CA, Medicare pays $288.41 for 46916 in the office and $132.33 when it’s performed in a hospital or facility.

$288.41Office (non-facility)
$132.33Hospital or facility
+13.5%vs the national office rate ($254.18)

Check a contract rate as a % of Medicare · 46916 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 46916 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Los Angeles, CA
  2. What 46916 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 46916 covers

Code 46916 represents destruction of one or more anal lesions by freezing, most commonly anal condylomata. A colorectal or general surgeon typically applies a cryogenic agent to the lesion or lesions in an office procedure room or a facility setting. The code is distinguished by the cryosurgical method and simple treatment level, rather than extensive destruction.

Report it when the clinician documents cryosurgery and an extent consistent with simple treatment. The record should identify the treated lesion(s), anal site, method, and extent. The 10-day global period includes related postoperative visits during that period. When multiple procedures subject to the standard reduction are performed in one session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate; assistant-at-surgery payment is barred by statutory restriction, and co-surgeon and team-surgery billing 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 Los Angeles, CA compares for 46916

Across 109 of 109 payment localities, the office rate for 46916 runs from $224.80 in Arkansas to $339.85 in San Benito County, CA. Los Angeles, CA pays $288.41. The RVUs are the same everywhere; the geographic indexes change the dollars.

46916 in Los Angeles, CA vs other payment areas
  1. Los Angeles, CA · this page$288.41
  2. Bakersfield, CA · California$270.55−$17.86
  3. Chico, CA · California$269.93−$18.48
  4. El Centro, CA · California$269.97−$18.44
  5. Fresno, CA · California$269.93−$18.48
  6. Hanford, CA · California$269.93−$18.48
  7. Madera, CA · California$269.93−$18.48

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

Every other payment area

46916 in every other Medicare payment locality
Payment localityOfficeFacility
Merced, CACalifornia$269.93$125.33
Modesto, CACalifornia$269.93$125.33
Napa, CACalifornia$313.76$139.87
Oxnard, CACalifornia$287.14$131.19
Redding, CACalifornia$269.93$125.33
Rest of CaliforniaCalifornia$269.93$125.33
Riverside, CACalifornia$272.11$127.51
Sacramento, CACalifornia$283.53$130.10

46916 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.

$224.80

$304.89

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

View every state and territory as a table
46916 office rate range by state
State / territoryOffice rate rangeLocalities
AK$294.291
AL$228.111
AR$224.801
AZ$247.471
CA$269.93–$339.8529
CO$265.331
CT$271.101
DC$291.291
DE$251.591
FL$249.38–$272.003
GA$235.44–$258.682
GU$276.761
HI$276.761
IA$234.401
ID$235.831
IL$241.81–$264.784
IN$237.211
KS$233.071
KY$233.041
LA$232.58–$244.152
MA$263.64–$291.962
MD$256.48–$291.293
ME$236.83–$250.052
MI$238.91–$252.282
MN$254.851
MO$228.43–$245.303
MS$226.671
MT$254.171
NC$239.351
ND$250.211
NE$235.751
NH$260.951
NJ$274.37–$288.212
NM$240.141
NV$253.251
NY$242.93–$298.925
OH$238.111
OK$232.861
OR$251.46–$274.042
PA$238.61–$264.192
PR$256.121
RI$260.761
SC$239.091
SD$249.751
TN$234.221
TX$237.02–$264.308
UT$242.381
VA$249.07–$291.292
VI$256.121
VT$249.031
WA$263.22–$298.142
WI$241.771
WV$232.781
WY$252.441

See 46916 in every payment locality

How the 46916 rate is calculated

Each of 46916’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 · 46916

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.86

1.86 RVUs× 1.000 GPCI

Practice expense5.55

5.55 RVUs× 1.000 GPCI

Malpractice0.20

0.20 RVUs× 1.000 GPCI

Adjusted RVUs

7.6100

Conversion factor

$33.4009

Medicare rate

$254.18

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

The exact Los Angeles, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

5,632

Code
46916
Physician work
1.86
Practice expense
5.55
Malpractice
0.20

GPCI2026.csv

13

Locality
Los Angeles, CA
Physician work
1.041
Practice expense
1.183
Malpractice
0.664
Office calculation for 46916 in Los Angeles, CA
ComponentRVULocality factorAdjusted
Physician work1.86× 1.0411.9363
Practice expense5.55× 1.1836.5656
Malpractice0.20× 0.6640.1328
Total RVUs8.6347
Conversion factor× 33.4009

Office rate, Los Angeles, CA$288.41

Office: (1.86 × 1.041 + 5.55 × 1.183 + 0.2 × 0.664) × $33.4009 = $288.41

Facility: (1.86 × 1.041 + 1.6 × 1.183 + 0.2 × 0.664) × $33.4009 = $132.33

Open 46916 in the RVU calculator

Payment rules and modifiers for 46916

46916 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 46916

Anal lesion treatment, cryosurgery, 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 · 46916

Anal lesion treatment, cryosurgery, 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

46916 without 51 · national office

$254.18

Anal lesion treatment, cryosurgery, simple lesions

46916-51 · Second procedure: 50%

$127.09

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 46916

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

Codes related to 46916
CodeHow it relatesOffice range, Los Angeles, CA
Same family
46900Anal lesion destruction, simple lesionsSimple anal lesion destruction using a chemical method rather than cryosurgery.$304.36
46910Anal lesion destruction, extensive lesionsSimple anal lesion destruction using an electrosurgical method.$336.86
46917Anal lesion laser, simple, laser surgerySimple anal lesion destruction using laser surgery.$535.39
46924Anal lesion destruction, extensive treatmentFor extensive anal lesion destruction, rather than simple cryosurgical treatment.$714.89
Used instead
46922Anal lesion excision, one or more lesionsRemoves anal lesion tissue rather than destroying it by freezing.$392.32

How 46916 has changed in Los Angeles, CA

46916 · Office / nonfacility

$288.41

Effective 2026-10-01

The base rate is $1.91 higher than on 2025-10-01, moving from $286.50 to $288.41 (0.7%).

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

    $286.50changed to$288.41

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.91 changed to 1.86
    • Practice expense RVU 5.63 changed to 5.55
    • Malpractice RVU 0.21 changed to 0.20
    • Work GPCI 1.042 changed to 1.041
    • Practice expense GPCI 1.194 changed to 1.183
    • Malpractice GPCI 0.690 changed to 0.664

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $299.04changed to$286.50

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 5.73 changed to 5.63
    • Malpractice RVU 0.22 changed to 0.21

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $294.16changed to$299.04

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $302.64changed to$294.16

    • Conversion factor 33.8872 changed to 32.7442
    • Malpractice RVU 0.20 changed to 0.22
    • Work GPCI 1.045 changed to 1.042
    • Practice expense GPCI 1.185 changed to 1.194
    • Malpractice GPCI 0.724 changed to 0.690

  5. January 1, 2023

    RVU23A

    $306.69changed to$302.64

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 5.71 changed to 5.73
    • Work GPCI 1.048 changed to 1.045
    • Practice expense GPCI 1.175 changed to 1.185
    • Malpractice GPCI 0.757 changed to 0.724

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $301.59changed to$306.69

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 5.53 changed to 5.71
    • Malpractice RVU 0.19 changed to 0.20

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $285.27changed to$301.59

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 4.91 changed to 5.53
    • Malpractice RVU 0.18 changed to 0.19
    • Work GPCI 1.047 changed to 1.048
    • Practice expense GPCI 1.176 changed to 1.175
    • Malpractice GPCI 0.725 changed to 0.757

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $276.17changed to$285.27

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 4.66 changed to 4.91
    • Malpractice RVU 0.26 changed to 0.18
    • Work GPCI 1.046 changed to 1.047
    • Practice expense GPCI 1.177 changed to 1.176
    • Malpractice GPCI 0.694 changed to 0.725

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $266.97changed to$276.17

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 4.45 changed to 4.66

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $263.84changed to$266.97

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 4.40 changed to 4.45
    • Work GPCI 1.047 changed to 1.046
    • Practice expense GPCI 1.169 changed to 1.177
    • Malpractice GPCI 0.801 changed to 0.694

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $261.71changed to$263.84

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 4.37 changed to 4.40
    • Practice expense GPCI 1.161 changed to 1.169
    • Malpractice GPCI 0.908 changed to 0.801

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $262.00changed to$261.71

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.24 changed to 0.26

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $260.70changed to$262.00

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $254.82changed to$260.70

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 4.25 changed to 4.37
    • Malpractice RVU 0.26 changed to 0.24
    • Work GPCI 1.042 changed to 1.047
    • Practice expense GPCI 1.158 changed to 1.161
    • Malpractice GPCI 0.775 changed to 0.908

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $262.47changed to$254.82

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 4.82 changed to 4.25
    • Malpractice RVU 0.27 changed to 0.26
    • Work GPCI 1.036 changed to 1.042
    • Practice expense GPCI 1.154 changed to 1.158
    • Malpractice GPCI 0.642 changed to 0.775

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$262.47

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$288.41$132.33RVU26D
2026-07-01$288.41$132.33RVU26C
2026-04-01$288.41$132.33RVU26B
2026-01-01$288.41$132.33RVU26A
2025-10-01$286.50$153.26RVU25D
2025-07-01$286.50$153.26RVU25C
2025-04-01$286.50$153.26RVU25B
2025-01-01$286.50$153.26RVU25A
2024-10-01$299.04$156.75RVU24D
2024-07-01$299.04$156.75RVU24C
2024-04-01$299.04$156.75RVU24B
2024-03-09$299.04$156.75RVU24AR
2024-01-01$294.16$154.20RVU24A
2023-10-01$302.64$157.27RVU23D
2023-07-01$302.64$157.27RVU23C
2023-04-01$302.64$157.27RVU23B
2023-01-01$302.64$157.27RVU23A
2022-10-01$306.69$157.46RVU22D
2022-07-01$306.69$157.46RVU22C
2022-04-01$306.69$157.46RVU22B
2022-01-01$306.69$157.46RVU22A
2021-10-01$301.59$157.27RVU21D
2021-07-01$301.59$157.27RVU21C
2021-04-01$301.59$157.27RVU21B
2021-01-01$301.59$157.27RVU21A
2020-10-01$285.27$160.49RVU20D
2020-07-01$285.27$160.49RVU20C
2020-04-01$285.27$160.49RVU20B
2020-01-01$285.27$160.49RVU20A
2019-10-01$276.17$162.07RVU19D
2019-07-01$276.17$162.07RVU19C
2019-04-01$276.17$162.07RVU19B
2019-01-01$276.17$162.07RVU19A
2018-10-01$266.97$162.31RVU18D
2018-07-01$266.97$162.31RVU18C
2018-04-01$266.97$162.31RVU18B
2018-01-01$266.97$162.31RVU18AR1
2017-10-01$263.84$161.47RVU17D
2017-07-01$263.84$161.47RVU17C
2017-04-01$263.84$161.47RVU17B
2017-01-01$263.84$161.47RVU17A
2016-10-01$261.71$161.11RVU16D
2016-07-01$261.71$161.11RVU16C
2016-04-01$261.71$161.11RVU16B
2016-01-01$261.71$161.11RVU16A
2015-10-01$262.00$161.46RVU15D
2015-07-01$262.00$161.46RVU15C
2015-04-01$260.70$160.65RVU15B
2015-01-01$260.70$160.65RVU15A
2014-10-01$254.82$156.92RVU14D
2014-07-01$254.82$156.92RVU14C
2014-04-01$254.82$156.92RVU14B
2014-01-01$254.82$156.92RVU14A
2013-10-01$262.47$157.24RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 46916 for an earlier date of service

Where the Los Angeles, CA rate applies

Los Angeles, CA is a Medicare payment area, not a city. Our Census mapping connects it to 189 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • Anaheim
  • Long Beach
  • Los Angeles
  • Orange
  • Acton
  • Agoura Hills
  • Agua Dulce
  • Alhambra

Browse all communities in California

46916 billing questions

How does 46916 differ from 46900 or 46910?

46916 identifies cryosurgery. The neighboring codes distinguish other simple destruction methods, including chemical treatment and electrosurgical treatment.

When should extensive destruction be considered instead?

Use 46924 when the documented destruction is extensive. Code 46916 is for simple treatment by cryosurgery.

Can modifier 50 be reported?

No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.

Are postoperative visits separately reported during the global period?

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

How does Medicare apply the multiple-procedure reduction?

For qualifying procedures in the same session, the highest-valued procedure is paid in full and the others at 50%. Assistant-at-surgery payment is restricted, and 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 46916PPRRVU2026_Oct_nonQPP.csv, line 5,632 (RVU26D)
Geographic factors for Los Angeles, CAGPCI2026.csv, line 13 (RVU26D)

Open CMS sourceHow we calculate rates

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