CPT code 46922: Anal lesion excision, one or more lesions2026 Medicare rate & RVUs in Austin, TX
Surgical removal of one or more anal lesions, reported when the clinician excises tissue rather than destroying the lesion with an ablative method.
In Austin, TX, Medicare pays $358.79 for 46922 in the office and $136.51 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 46922 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 46922 covers
Code 46922 represents surgical excision of one or more lesions of the anus. A colorectal surgeon, general surgeon, or other qualified physician may remove the lesion with cutting instruments in an office procedure room or operating room; anesthesia and setting depend on the clinical circumstances. A specimen may be sent for histopathologic examination, which is a separate service from the excision.
Report the excision service, not a separate unit for each lesion removed. Document the anal site, lesion findings, excisional technique, and number treated. CMS assigns a 10-day minor-procedure global period, so related postoperative visits during that period are included. When other procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction. Modifier 50 is inappropriate for this 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 Austin, TX compares for 46922
Across 109 of 109 payment localities, the office rate for 46922 runs from $300.43 in Arkansas to $465.05 in San Benito County, CA. Austin, TX pays $358.79. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Austin, TX · this page$358.79
- Beaumont, TX · Texas$319.19−$39.60
- Brazoria, TX · Texas$339.78−$19.01
- Dallas, TX · Texas$342.13−$16.66
- Fort Worth, TX · Texas$339.59−$19.20
- Galveston, TX · Texas$340.90−$17.89
- Houston, TX · Texas$347.49−$11.30
Other areas in Texas first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Rest of TexasTexas | $329.42 | $130.04 |
| Los Angeles, CACalifornia | $392.32 | $143.78 |
| Washington, DC areaDistrict of Columbia | $397.17 | $149.69 |
| Miami, FLFlorida | $373.83 | $155.12 |
| Chicago, ILIllinois | $361.72 | $150.58 |
| Manhattan, NYNew York | $399.16 | $155.03 |
| AlaskaAlaska | $387.59 | $163.84 |
| AlabamaAlabama | $305.37 | $121.54 |
| ArkansasArkansas | $300.43 | $119.96 |
| ArizonaArizona | $334.26 | $130.68 |
| Bakersfield, CACalifornia | $366.78 | $136.52 |
| Chico, CACalifornia | $365.78 | $135.52 |
| El Centro, CACalifornia | $365.84 | $135.58 |
| Fresno, CACalifornia | $365.78 | $135.52 |
| Hanford, CACalifornia | $365.78 | $135.52 |
| Madera, CACalifornia | $365.78 | $135.52 |
| Merced, CACalifornia | $365.78 | $135.52 |
| Modesto, CACalifornia | $365.78 | $135.52 |
| Napa, CACalifornia | $428.29 | $151.39 |
| Oxnard, CACalifornia | $390.75 | $142.42 |
| Redding, CACalifornia | $365.78 | $135.52 |
| Rest of CaliforniaCalifornia | $365.78 | $135.52 |
| Riverside, CACalifornia | $369.65 | $139.39 |
| Sacramento, CACalifornia | $385.07 | $140.73 |
| Salinas, CACalifornia | $383.67 | $140.18 |
| San Diego, CACalifornia | $393.68 | $142.41 |
| Marin County, CACalifornia | $454.55 | $158.32 |
| San Francisco, CACalifornia | $454.14 | $157.91 |
| San Benito County, CACalifornia | $465.05 | $162.10 |
| Santa Clara County, CACalifornia | $463.38 | $160.43 |
| San Luis Obispo, CACalifornia | $377.40 | $138.11 |
| Santa Cruz, CACalifornia | $398.18 | $142.92 |
| Santa Maria, CACalifornia | $385.38 | $140.41 |
| Santa Rosa, CACalifornia | $402.26 | $144.26 |
| Stockton, CACalifornia | $365.78 | $135.52 |
| Vallejo, CACalifornia | $427.70 | $150.80 |
| Visalia, CACalifornia | $365.78 | $135.52 |
| Yuba City, CACalifornia | $365.78 | $135.52 |
| ColoradoColorado | $359.77 | $136.23 |
| ConnecticutConnecticut | $368.94 | $142.67 |
| DelawareDelaware | $340.22 | $132.65 |
| Fort Lauderdale, FLFlorida | $357.59 | $144.77 |
| Rest of FloridaFlorida | $338.52 | $137.67 |
| Atlanta, GAGeorgia | $351.29 | $137.84 |
| Rest of GeorgiaGeorgia | $317.49 | $130.09 |
| Hawaii, Guam, HIHawaii | $376.32 | $137.45 |
| IowaIowa | $314.14 | $121.91 |
| IdahoIdaho | $316.41 | $123.13 |
| East St. Louis, ILIllinois | $334.94 | $141.65 |
| Rest of IllinoisIllinois | $327.62 | $135.81 |
| Suburban Chicago, ILIllinois | $361.38 | $145.61 |
| IndianaIndiana | $318.46 | $123.70 |
| KansasKansas | $312.46 | $122.54 |
| KentuckyKentucky | $313.35 | $126.58 |
| New Orleans, LALouisiana | $330.06 | $132.36 |
| Rest of LouisianaLouisiana | $312.78 | $126.85 |
| Metropolitan Boston, MAMassachusetts | $398.01 | $147.16 |
| Rest of MassachusettsMassachusetts | $357.24 | $136.01 |
| Baltimore area, MDMaryland | $367.93 | $142.50 |
| Rest of MarylandMaryland | $347.24 | $134.63 |
| Rest of MaineMaine | $318.20 | $124.92 |
| Southern Maine, MEMaine | $337.49 | $129.29 |
| Detroit, MIMichigan | $343.15 | $140.42 |
| Rest of MichiganMichigan | $322.41 | $130.59 |
| MinnesotaMinnesota | $343.73 | $127.55 |
| Metropolitan Kansas City, MOMissouri | $327.60 | $130.33 |
| Metropolitan St. Louis, MOMissouri | $331.42 | $131.41 |
| Rest of MissouriMissouri | $306.76 | $125.66 |
| MississippiMississippi | $303.67 | $122.78 |
| MontanaMontana | $344.34 | $134.25 |
| North CarolinaNorth Carolina | $321.92 | $125.90 |
| North DakotaNorth Dakota | $337.22 | $127.13 |
| NebraskaNebraska | $316.08 | $122.16 |
| New HampshireNew Hampshire | $353.94 | $135.23 |
| Northern New JerseyNew Jersey | $392.33 | $148.62 |
| Rest of New JerseyNew Jersey | $372.87 | $143.45 |
| New MexicoNew Mexico | $324.35 | $131.70 |
| NevadaNevada | $342.63 | $132.32 |
| NYC suburbs and Long Island, NYNew York | $409.71 | $159.92 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $375.35 | $145.30 |
| Queens, NYNew York | $402.83 | $154.50 |
| Rest of New YorkNew York | $327.28 | $127.69 |
| OhioOhio | $320.95 | $129.14 |
| OklahomaOklahoma | $312.77 | $125.16 |
| Portland, OROregon | $372.27 | $138.86 |
| Rest of OregonOregon | $339.71 | $130.46 |
| Metropolitan Philadelphia, PAPennsylvania | $358.88 | $140.18 |
| Rest of PennsylvaniaPennsylvania | $321.54 | $128.68 |
| Puerto RicoPuerto Rico | $347.16 | $134.75 |
| Rhode IslandRhode Island | $353.16 | $136.14 |
| South CarolinaSouth Carolina | $322.02 | $127.90 |
| South DakotaSouth Dakota | $336.38 | $126.29 |
| TennesseeTennessee | $314.21 | $123.23 |
| UtahUtah | $326.92 | $129.44 |
| VirginiaVirginia | $336.23 | $129.71 |
| Virgin Islands, VIUnited States Virgin Islands | $347.16 | $134.75 |
| VermontVermont | $335.72 | $127.73 |
| Rest of WashingtonWashington | $356.62 | $135.39 |
| King County, WAWashington | $406.61 | $148.83 |
| WisconsinWisconsin | $324.69 | $123.43 |
| West VirginiaWest Virginia | $314.15 | $131.58 |
| WyomingWyoming | $341.24 | $131.15 |
46922 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.
$300.43
$415.41
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $387.59 | 1 |
| AL | $305.37 | 1 |
| AR | $300.43 | 1 |
| AZ | $334.26 | 1 |
| CA | $365.78–$465.05 | 29 |
| CO | $359.77 | 1 |
| CT | $368.94 | 1 |
| DC | $397.17 | 1 |
| DE | $340.22 | 1 |
| FL | $338.52–$373.83 | 3 |
| GA | $317.49–$351.29 | 2 |
| GU | $376.32 | 1 |
| HI | $376.32 | 1 |
| IA | $314.14 | 1 |
| ID | $316.41 | 1 |
| IL | $327.62–$361.72 | 4 |
| IN | $318.46 | 1 |
| KS | $312.46 | 1 |
| KY | $313.35 | 1 |
| LA | $312.78–$330.06 | 2 |
| MA | $357.24–$398.01 | 2 |
| MD | $347.24–$397.17 | 3 |
| ME | $318.20–$337.49 | 2 |
| MI | $322.41–$343.15 | 2 |
| MN | $343.73 | 1 |
| MO | $306.76–$331.42 | 3 |
| MS | $303.67 | 1 |
| MT | $344.34 | 1 |
| NC | $321.92 | 1 |
| ND | $337.22 | 1 |
| NE | $316.08 | 1 |
| NH | $353.94 | 1 |
| NJ | $372.87–$392.33 | 2 |
| NM | $324.35 | 1 |
| NV | $342.63 | 1 |
| NY | $327.28–$409.71 | 5 |
| OH | $320.95 | 1 |
| OK | $312.77 | 1 |
| OR | $339.71–$372.27 | 2 |
| PA | $321.54–$358.88 | 2 |
| PR | $347.16 | 1 |
| RI | $353.16 | 1 |
| SC | $322.02 | 1 |
| SD | $336.38 | 1 |
| TN | $314.21 | 1 |
| TX | $319.19–$358.79 | 8 |
| UT | $326.92 | 1 |
| VA | $336.23–$397.17 | 2 |
| VI | $347.16 | 1 |
| VT | $335.72 | 1 |
| WA | $356.62–$406.61 | 2 |
| WI | $324.69 | 1 |
| WV | $314.15 | 1 |
| WY | $341.24 | 1 |
How the 46922 rate is calculated
Each of 46922’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 · 46922
RVUs × geographic indexes × conversion factor
Work1.86
1.86 RVUs× 1.000 GPCI
Practice expense8.09
8.09 RVUs× 1.000 GPCI
Malpractice0.36
0.36 RVUs× 1.000 GPCI
Adjusted RVUs
10.3100
Conversion factor
$33.4009
Medicare rate
$344.36
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Austin, TX inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
5,634
- Code
- 46922
- Physician work
- 1.86
- Practice expense
- 8.09
- Malpractice
- 0.36
GPCI2026.csv
96
- Locality
- Austin, TX
- Physician work
- 1.002
- Practice expense
- 1.058
- Malpractice
- 0.886
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.86 | × 1.002 | 1.8637 |
| Practice expense | 8.09 | × 1.058 | 8.5592 |
| Malpractice | 0.36 | × 0.886 | 0.3190 |
| Total RVUs | 10.7419 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Austin, TX$358.79
Office: (1.86 × 1.002 + 8.09 × 1.058 + 0.36 × 0.886) × $33.4009 = $358.79
Facility: (1.86 × 1.002 + 1.8 × 1.058 + 0.36 × 0.886) × $33.4009 = $136.51
Payment rules and modifiers for 46922
46922 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 46922
Anal lesion excision, one or more lesions
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 010 | Minor procedure: the day of the procedure plus 10 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.80/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 46922
Anal lesion excision, one or more 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.
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
46922 without 51 · national office
$344.36
Anal lesion excision, one or more lesions
46922-51 · Second procedure: 50%
$172.18
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%).
How 46922 has changed in Austin, TX
46922 · Office / nonfacility
$358.79
Effective 2026-10-01
The base rate is $48.51 higher than on 2025-10-01, moving from $310.28 to $358.79 (15.6%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$310.28changed to$358.79
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.91 changed to 1.86
- Practice expense RVU 7.03 changed to 8.09
- Work GPCI 1.000 changed to 1.002
- Practice expense GPCI 1.046 changed to 1.058
- Malpractice GPCI 0.914 changed to 0.886
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$324.18changed to$310.28
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 7.17 changed to 7.03
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$318.89changed to$324.18
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$331.34changed to$318.89
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 7.23 changed to 7.17
- Malpractice RVU 0.35 changed to 0.36
- Practice expense GPCI 1.053 changed to 1.046
- Malpractice GPCI 0.727 changed to 0.914
January 1, 2023
RVU23A
$339.97changed to$331.34
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 7.30 changed to 7.23
- Malpractice RVU 0.34 changed to 0.35
- Practice expense GPCI 1.059 changed to 1.053
- Malpractice GPCI 0.539 changed to 0.727
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$335.40changed to$339.97
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 7.10 changed to 7.30
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$307.13changed to$335.40
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 6.13 changed to 7.10
- Malpractice RVU 0.35 changed to 0.34
- Practice expense GPCI 1.040 changed to 1.059
- Malpractice GPCI 0.643 changed to 0.539
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$289.27changed to$307.13
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 5.72 changed to 6.13
- Malpractice RVU 0.37 changed to 0.35
- Practice expense GPCI 1.021 changed to 1.040
- Malpractice GPCI 0.747 changed to 0.643
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$277.66changed to$289.27
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 5.42 changed to 5.72
- Malpractice RVU 0.36 changed to 0.37
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$274.08changed to$277.66
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 5.34 changed to 5.42
- Malpractice RVU 0.37 changed to 0.36
- Practice expense GPCI 1.020 changed to 1.021
- Malpractice GPCI 0.757 changed to 0.747
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$273.00changed to$274.08
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 5.33 changed to 5.34
- Practice expense GPCI 1.019 changed to 1.020
- Malpractice GPCI 0.766 changed to 0.757
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$274.90changed to$273.00
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 5.37 changed to 5.33
- Malpractice RVU 0.35 changed to 0.37
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$273.53changed to$274.90
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$269.91changed to$273.53
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 5.30 changed to 5.37
- Malpractice RVU 0.33 changed to 0.35
- Practice expense GPCI 1.014 changed to 1.019
- Malpractice GPCI 0.759 changed to 0.766
Held through RVU15B.
January 1, 2014
RVU14A
$278.87changed to$269.91
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 5.97 changed to 5.30
- Malpractice RVU 0.35 changed to 0.33
- Practice expense GPCI 1.009 changed to 1.014
- Malpractice GPCI 0.751 changed to 0.759
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $278.87
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $358.79 | $136.51 | RVU26D |
| 2026-07-01 | $358.79 | $136.51 | RVU26C |
| 2026-04-01 | $358.79 | $136.51 | RVU26B |
| 2026-01-01 | $358.79 | $136.51 | RVU26A |
| 2025-10-01 | $310.28 | $137.73 | RVU25D |
| 2025-07-01 | $310.28 | $137.73 | RVU25C |
| 2025-04-01 | $310.28 | $137.73 | RVU25B |
| 2025-01-01 | $310.28 | $137.73 | RVU25A |
| 2024-10-01 | $324.18 | $140.69 | RVU24D |
| 2024-07-01 | $324.18 | $140.69 | RVU24C |
| 2024-04-01 | $324.18 | $140.69 | RVU24B |
| 2024-03-09 | $324.18 | $140.69 | RVU24AR |
| 2024-01-01 | $318.89 | $138.39 | RVU24A |
| 2023-10-01 | $331.34 | $140.07 | RVU23D |
| 2023-07-01 | $331.34 | $140.07 | RVU23C |
| 2023-04-01 | $331.34 | $140.07 | RVU23B |
| 2023-01-01 | $331.34 | $140.07 | RVU23A |
| 2022-10-01 | $339.97 | $139.14 | RVU22D |
| 2022-07-01 | $339.97 | $139.14 | RVU22C |
| 2022-04-01 | $339.97 | $139.14 | RVU22B |
| 2022-01-01 | $339.97 | $139.14 | RVU22A |
| 2021-10-01 | $335.40 | $138.08 | RVU21D |
| 2021-07-01 | $335.40 | $138.08 | RVU21C |
| 2021-04-01 | $335.40 | $138.08 | RVU21B |
| 2021-01-01 | $335.40 | $138.08 | RVU21A |
| 2020-10-01 | $307.13 | $139.73 | RVU20D |
| 2020-07-01 | $307.13 | $139.73 | RVU20C |
| 2020-04-01 | $307.13 | $139.73 | RVU20B |
| 2020-01-01 | $307.13 | $139.73 | RVU20A |
| 2019-10-01 | $289.27 | $139.14 | RVU19D |
| 2019-07-01 | $289.27 | $139.14 | RVU19C |
| 2019-04-01 | $289.27 | $139.14 | RVU19B |
| 2019-01-01 | $289.27 | $139.14 | RVU19A |
| 2018-10-01 | $277.66 | $138.72 | RVU18D |
| 2018-07-01 | $277.66 | $138.72 | RVU18C |
| 2018-04-01 | $277.66 | $138.72 | RVU18B |
| 2018-01-01 | $277.66 | $138.72 | RVU18AR1 |
| 2017-10-01 | $274.08 | $137.90 | RVU17D |
| 2017-07-01 | $274.08 | $137.90 | RVU17C |
| 2017-04-01 | $274.08 | $137.90 | RVU17B |
| 2017-01-01 | $274.08 | $137.90 | RVU17A |
| 2016-10-01 | $273.00 | $137.64 | RVU16D |
| 2016-07-01 | $273.00 | $137.64 | RVU16C |
| 2016-04-01 | $273.00 | $137.64 | RVU16B |
| 2016-01-01 | $273.00 | $137.64 | RVU16A |
| 2015-10-01 | $274.90 | $138.68 | RVU15D |
| 2015-07-01 | $274.90 | $138.68 | RVU15C |
| 2015-04-01 | $273.53 | $137.99 | RVU15B |
| 2015-01-01 | $273.53 | $137.99 | RVU15A |
| 2014-10-01 | $269.91 | $136.60 | RVU14D |
| 2014-07-01 | $269.91 | $136.60 | RVU14C |
| 2014-04-01 | $269.91 | $136.60 | RVU14B |
| 2014-01-01 | $269.91 | $136.60 | RVU14A |
| 2013-10-01 | $278.87 | $136.06 | RVU13D |
| 2013-07-01 | $278.87 | $136.06 | RVU13C |
| 2013-04-01 | $278.87 | $136.06 | RVU13B |
| 2013-01-01 | $278.87 | $136.06 | RVU13AR |
Where the Austin, TX rate applies
Austin, TX is a Medicare payment area, not a city. Our Census mapping connects it to 31 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.
- 46922 in Austin · multiple payment areas
- Barton Creek
- Bee Cave
- Briarcliff
- 46922 in Cedar Park · multiple payment areas
- 46922 in Creedmoor · multiple payment areas
- 46922 in Elgin · multiple payment areas
- Garfield
46922 billing questions
How is 46922 different from anal lesion destruction codes?
46922 is for surgical excision of the lesion. Destruction codes apply when the lesion is treated by an ablative method rather than cut out.
Should 46922 be reported once for each lesion?
The code covers excision of one or more anal lesions; do not assign a separate unit for each lesion. Document how many lesions were treated.
Are related postoperative visits separately payable during the global period?
Related postoperative visits within 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 procedure.
Can an assistant or co-surgeon be reported for 46922?
Medicare does not pay an assistant at surgery for this service. Co-surgeons and team surgery are not permitted.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full; other procedures in that session are subject to the standard 50% multiple-procedure reduction.
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
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