CPT code 46924: Anal lesion destruction, extensive treatment2026 Medicare rate & RVUs
Reports extensive destruction of anal lesions, such as condylomata, when the treatment involves a broader lesion burden than simple destruction.
Medicare pays $621.59 for 46924 nationally in the office and $172.01 in a hospital or facility. Local office rates run $541.91–$852.94.
Medicare rate · 46924
Anal lesion destruction, extensive treatment
- Work RVUs
- 2.74
- Total RVUs
- 18.61
- Global days
- 010
National rate · 2026
$621.59
Office setting, before claim adjustments.
See every locality for 46924 →Billed by an NP, PA or therapist? →
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 10 sections
What 46924 covers
This code describes extensive destruction of lesions on the anus, including lesions such as condylomata, papillomas, or molluscum contagiosum. A colorectal or general surgeon may perform the treatment in an office procedure room or an outpatient setting. The lesions are destroyed rather than removed as tissue specimens; the code is selected for extensive treatment, not simply because more than one lesion is present.
Document the lesion sites and extent, the destructive method, and why the treatment is extensive rather than simple. Related postoperative visits during the 10-day global period are included. When multiple procedures are performed in the same session, Medicare pays the highest-valued procedure in full and applies the standard reduction to the others. Modifier 50 is inappropriate for this code. Medicare does not pay for an assistant at surgery, 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.
Where 46924 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$541.91 to $852.94
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $550.89 | $157.51 |
| Alaska | $694.42 | $215.62 |
| Arizona | $603.54 | $167.90 |
| Arkansas | $541.91 | $155.72 |
| Atlanta, GA | $633.00 | $176.23 |
| Austin, TX | $650.05 | $174.40 |
| Bakersfield, CA | $667.22 | $174.49 |
| Baltimore area, MD | $664.11 | $181.71 |
| Beaumont, TX | $574.16 | $165.04 |
| Brazoria, TX | $614.52 | $168.99 |
| Chicago, IL | $643.41 | $191.59 |
| Chico, CA | $665.99 | $173.26 |
| Colorado | $652.55 | $174.20 |
| Connecticut | $666.15 | $181.95 |
| Dallas, TX | $618.31 | $170.53 |
| Delaware | $614.41 | $170.23 |
| Detroit, MI | $613.39 | $179.55 |
| East St. Louis, IL | $594.90 | $181.29 |
| El Centro, CA | $666.06 | $173.33 |
| Fort Lauderdale, FL | $639.90 | $184.48 |
| Fort Worth, TX | $613.34 | $170.06 |
| Fresno, CA | $665.99 | $173.26 |
| Galveston, TX | $616.24 | $169.81 |
| Hanford, CA | $665.99 | $173.26 |
| Hawaii, Guam, HI | $686.20 | $175.03 |
| Houston, TX | $624.11 | $177.68 |
| Idaho | $572.76 | $159.15 |
| Indiana | $576.56 | $159.80 |
| Iowa | $569.09 | $157.73 |
| Kansas | $564.96 | $158.54 |
| Kentucky | $563.13 | $163.45 |
| King County, WA | $740.60 | $188.97 |
| Los Angeles, CA | $714.89 | $183.04 |
| Madera, CA | $665.99 | $173.26 |
| Manhattan, NY | $719.41 | $197.00 |
| Marin County, CA | $833.96 | $200.05 |
| Merced, CA | $665.99 | $173.26 |
| Metropolitan Boston, MA | $723.81 | $187.02 |
| Metropolitan Kansas City, MO | $589.80 | $167.65 |
| Metropolitan Philadelphia, PA | $647.15 | $179.15 |
| Metropolitan St. Louis, MO | $596.87 | $168.87 |
| Miami, FL | $664.69 | $196.69 |
| Minnesota | $626.44 | $163.82 |
| Mississippi | $546.16 | $159.07 |
| Modesto, CA | $665.99 | $173.26 |
| Montana | $621.56 | $171.99 |
| Napa, CA | $784.29 | $191.74 |
| Nebraska | $572.95 | $157.99 |
| Nevada | $619.71 | $169.68 |
| New Hampshire | $640.94 | $172.93 |
| New Mexico | $581.67 | $169.41 |
| New Orleans, LA | $593.12 | $170.07 |
| North Carolina | $581.85 | $162.40 |
| North Dakota | $613.06 | $163.48 |
| Northern New Jersey | $710.85 | $189.34 |
| NYC suburbs and Long Island, NY | $737.23 | $202.68 |
| Ohio | $576.84 | $166.38 |
| Oklahoma | $563.21 | $161.74 |
| Oxnard, CA | $712.60 | $181.20 |
| Portland, OR | $676.62 | $177.14 |
| Poughkeepsie and northern NYC suburbs, NY | $677.72 | $185.43 |
| Puerto Rico | $627.05 | $172.53 |
| Queens, NY | $727.66 | $196.26 |
| Redding, CA | $665.99 | $173.26 |
| Rest of California | $665.99 | $173.26 |
| Rest of Florida | $606.12 | $176.33 |
| Rest of Georgia | $568.65 | $167.63 |
| Rest of Illinois | $584.81 | $174.35 |
| Rest of Louisiana | $561.68 | $163.81 |
| Rest of Maine | $574.90 | $161.29 |
| Rest of Maryland | $627.52 | $172.55 |
| Rest of Massachusetts | $647.47 | $174.07 |
| Rest of Michigan | $578.58 | $168.11 |
| Rest of Missouri | $550.05 | $162.51 |
| Rest of New Jersey | $674.09 | $183.15 |
| Rest of New York | $591.54 | $164.44 |
| Rest of Oregon | $615.26 | $167.48 |
| Rest of Pennsylvania | $578.51 | $165.80 |
| Rest of Texas | $593.90 | $167.25 |
| Rest of Washington | $646.68 | $173.28 |
| Rhode Island | $638.80 | $174.38 |
| Riverside, CA | $670.63 | $177.90 |
| Sacramento, CA | $702.28 | $179.42 |
| Salinas, CA | $699.76 | $178.70 |
| San Benito County, CA | $852.94 | $204.65 |
| San Diego, CA | $718.84 | $181.14 |
| San Francisco, CA | $833.47 | $199.57 |
| San Luis Obispo, CA | $688.17 | $176.10 |
| Santa Clara County, CA | $850.94 | $202.65 |
| Santa Cruz, CA | $727.73 | $181.49 |
| Santa Maria, CA | $703.10 | $178.89 |
| Santa Rosa, CA | $735.25 | $183.17 |
| South Carolina | $580.24 | $164.83 |
| South Dakota | $612.05 | $162.48 |
| Southern Maine, ME | $611.65 | $166.12 |
| Stockton, CA | $665.99 | $173.26 |
| Suburban Chicago, IL | $647.24 | $185.53 |
| Tennessee | $568.01 | $159.35 |
| Utah | $589.18 | $166.58 |
| Vallejo, CA | $783.58 | $191.04 |
| Vermont | $609.34 | $164.26 |
| Virgin Islands, VI | $627.05 | $172.53 |
| Virginia | $608.60 | $166.67 |
| Visalia, CA | $665.99 | $173.26 |
| Washington, DC area | $719.95 | $190.35 |
| West Virginia | $560.22 | $169.54 |
| Wisconsin | $589.99 | $159.30 |
| Wyoming | $617.86 | $168.28 |
| Yuba City, CA | $665.99 | $173.26 |
46924 rates by state
Office rate range in each state. Select a state to see its payment localities.
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Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$541.91
$759.47
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 | $694.42 | 1 |
| AL | $550.89 | 1 |
| AR | $541.91 | 1 |
| AZ | $603.54 | 1 |
| CA | $665.99–$852.94 | 29 |
| CO | $652.55 | 1 |
| CT | $666.15 | 1 |
| DC | $719.95 | 1 |
| DE | $614.41 | 1 |
| FL | $606.12–$664.69 | 3 |
| GA | $568.65–$633.00 | 2 |
| GU | $686.20 | 1 |
| HI | $686.20 | 1 |
| IA | $569.09 | 1 |
| ID | $572.76 | 1 |
| IL | $584.81–$647.24 | 4 |
| IN | $576.56 | 1 |
| KS | $564.96 | 1 |
| KY | $563.13 | 1 |
| LA | $561.68–$593.12 | 2 |
| MA | $647.47–$723.81 | 2 |
| MD | $627.52–$719.95 | 3 |
| ME | $574.90–$611.65 | 2 |
| MI | $578.58–$613.39 | 2 |
| MN | $626.44 | 1 |
| MO | $550.05–$596.87 | 3 |
| MS | $546.16 | 1 |
| MT | $621.56 | 1 |
| NC | $581.85 | 1 |
| ND | $613.06 | 1 |
| NE | $572.95 | 1 |
| NH | $640.94 | 1 |
| NJ | $674.09–$710.85 | 2 |
| NM | $581.67 | 1 |
| NV | $619.71 | 1 |
| NY | $591.54–$737.23 | 5 |
| OH | $576.84 | 1 |
| OK | $563.21 | 1 |
| OR | $615.26–$676.62 | 2 |
| PA | $578.51–$647.15 | 2 |
| PR | $627.05 | 1 |
| RI | $638.80 | 1 |
| SC | $580.24 | 1 |
| SD | $612.05 | 1 |
| TN | $568.01 | 1 |
| TX | $574.16–$650.05 | 8 |
| UT | $589.18 | 1 |
| VA | $608.60–$719.95 | 2 |
| VI | $627.05 | 1 |
| VT | $609.34 | 1 |
| WA | $646.68–$740.60 | 2 |
| WI | $589.99 | 1 |
| WV | $560.22 | 1 |
| WY | $617.86 | 1 |
How the 46924 rate is calculated
Each of 46924’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 · 46924
RVUs × geographic indexes × conversion factor
Work2.74
2.74 RVUs× 1.000 GPCI
Practice expense15.44
15.44 RVUs× 1.000 GPCI
Malpractice0.43
0.43 RVUs× 1.000 GPCI
Adjusted RVUs
18.6100
Conversion factor
$33.4009
Medicare rate
$621.59
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 46924
46924 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 46924
Anal lesion destruction, extensive treatment
| 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 · 46924
Anal lesion destruction, extensive treatment
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
46924 without 51 · national office
$621.59
Anal lesion destruction, extensive treatment
46924-51 · Second procedure: 50%
$310.80
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%).
46924 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 46900Anal lesion destructionSimple lesions
- Choose 46900 for simple destruction and 46924 for extensive destruction. The documented scope of treatment, not lesion count alone, supports the distinction.
- 46917Anal lesion laserSimple, laser surgery
- 46917 identifies laser surgery for anal lesions. Select 46924 when the documented service is extensive destruction and the laser-specific code does not describe the procedure.
- 46922Anal lesion excisionOne or more lesions
- 46922 is for excising anal lesions; 46924 is for destroying them without excision.
46924 billing questions
How is 46924 distinguished from 46900?
46924 is for extensive destruction; 46900 is for simple destruction. Document the extent of treatment and the method used rather than relying only on the number of lesions.
Is 46924 used for excision of anal lesions?
No. It represents destruction of lesions. Use 46922 when lesions are excised and removed as tissue.
Are postoperative visits separately reported?
Related postoperative visits during the 10-day global period are included in 46924.
Can modifier 50 be reported?
No. Bilateral adjustment is inappropriate for this code and modifier 50 should not be used.
How does Medicare handle other procedures performed in the same session?
The highest-valued procedure is paid in full, and other procedures subject to the multiple-procedure rule are reduced under the standard Medicare adjustment. Medicare does not pay for an assistant at surgery; 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
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