No office rate
46945 describes ligation of one internal hemorrhoid. Choose 46930 when thermal energy is used instead of ligation.
On this page
CMS RVU26D · Effective 2026-10-01
46930 in Austin
Office / nonfacility
$258.01
Base rate per service
Facility setting
$162.60
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Colorectal surgery
About 46930: Thermal destruction of internal hemorrhoids
Report 46930 when a clinician treats internal hemorrhoids by thermal energy, including infrared coagulation, rather than ligation or excision.
A clinician applies thermal energy to internal hemorrhoidal tissue, commonly using an infrared coagulation device through an anoscope. Colorectal surgeons, general surgeons, and gastroenterologists may perform the treatment in an office or outpatient setting for symptomatic internal hemorrhoids selected for this approach.
Report 46930 for thermal destruction, including infrared coagulation; rubber-band ligation and operative hemorrhoid procedures are different services. Documentation should identify the internal hemorrhoids and the thermal treatment performed. The code has a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. For multiple procedures in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 46930
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU1.57 · 21%
- Practice expense (office) RVU5.63 · 76%
- Malpractice RVU0.22 · 3%
4.9K
Medicare services in 2024 · #1880 by national volume
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.
46930 compared with similar codes
Office rates for Austin, from the same CMS release.
No office rate
46946 describes ligation of two or more internal hemorrhoids. Thermal destruction is reported with 46930, regardless of whether one or multiple hemorrhoids are treated.
No office rate
46947 represents stapled hemorrhoidopexy, an operative procedure; 46930 represents thermal destruction of internal hemorrhoidal tissue.
$279.15
46900 is for destruction of anal lesion(s), not thermal treatment of internal hemorrhoids. Identify the treated condition and method.
The same code, a different location
How does Austin compare?
In Beaumont, the office rate for 46930 is $230.39—$27.62 lower than the $258.01 rate in Austin. Both use the same code, release and participation basis.
46930 across payment areas
Same release and payment basis · bars start at $0
Austin · This locality
$258.01
$230.39
$27.62 lower than Austin
$244.95
$13.06 lower than Austin
$246.51
$11.50 lower than Austin
$244.73
$13.28 lower than Austin
$245.67
$12.34 lower than Austin
$249.70
$8.31 lower than Austin
Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
Across 109 of 109 CMS payment localities with a supported office rate, 46930 ranges from $217.76 in Arkansas to $333.31 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Rest Of Texas
Texas · 46930
Office
$237.53
Facility
$151.95
$20.48 lower than Austin for the office setting.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 46930
Office
$281.93
Facility
$175.24
$23.92 higher than Austin for the office setting.
Dc + Md/Va Suburbs
District of Columbia · 46930
Office
$284.97
Facility
$178.73
$26.96 higher than Austin for the office setting.
Miami
Florida · 46930
Office
$266.78
Facility
$172.90
$8.77 higher than Austin for the office setting.
Chicago
Illinois · 46930
Office
$258.66
Facility
$168.02
$0.65 higher than Austin for the office setting.
Manhattan
New York · 46930
Office
$285.96
Facility
$181.17
$27.95 higher than Austin for the office setting.
Alaska*
Alaska · 46930
Office
$282.98
Facility
$186.93
$24.97 higher than Austin for the office setting.
Alabama
Alabama · 46930
Office
$221.14
Facility
$142.23
$36.87 lower than Austin for the office setting.
Arkansas
Arkansas · 46930
Office
$217.76
Facility
$140.29
$40.25 lower than Austin for the office setting.
Arizona
Arizona · 46930
Office
$240.95
Facility
$153.56
$17.06 lower than Austin for the office setting.
Bakersfield
California · 46930
Office
$264.01
Facility
$165.17
$6.00 higher than Austin for the office setting.
Chico
California · 46930
Office
$263.37
Facility
$164.53
$5.36 higher than Austin for the office setting.
El Centro
California · 46930
Office
$263.41
Facility
$164.57
$5.40 higher than Austin for the office setting.
Fresno
California · 46930
Office
$263.37
Facility
$164.53
$5.36 higher than Austin for the office setting.
Hanford-Corcoran
California · 46930
Office
$263.37
Facility
$164.53
$5.36 higher than Austin for the office setting.
Madera
California · 46930
Office
$263.37
Facility
$164.53
$5.36 higher than Austin for the office setting.
Merced
California · 46930
Office
$263.37
Facility
$164.53
$5.36 higher than Austin for the office setting.
Modesto
California · 46930
Office
$263.37
Facility
$164.53
$5.36 higher than Austin for the office setting.
Napa
California · 46930
Office
$307.32
Facility
$188.46
$49.31 higher than Austin for the office setting.
Oxnard-Thousand Oaks-Ventura
California · 46930
Office
$280.76
Facility
$174.16
$22.75 higher than Austin for the office setting.
Redding
California · 46930
Office
$263.37
Facility
$164.53
$5.36 higher than Austin for the office setting.
Rest Of California
California · 46930
Office
$263.37
Facility
$164.53
$5.36 higher than Austin for the office setting.
Riverside-San Bernardino-Ontario
California · 46930
Office
$265.75
Facility
$166.91
$7.74 higher than Austin for the office setting.
Sacramento-Roseville-Folsom
California · 46930
Office
$276.96
Facility
$172.08
$18.95 higher than Austin for the office setting.
Salinas
California · 46930
Office
$275.95
Facility
$171.43
$17.94 higher than Austin for the office setting.
San Diego-Chula Vista-Carlsbad
California · 46930
Office
$282.90
Facility
$175.04
$24.89 higher than Austin for the office setting.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 46930
Office
$325.94
Facility
$198.78
$67.93 higher than Austin for the office setting.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 46930
Office
$325.69
Facility
$198.53
$67.68 higher than Austin for the office setting.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 46930
Office
$333.31
Facility
$203.27
$75.30 higher than Austin for the office setting.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 46930
Office
$332.29
Facility
$202.25
$74.28 higher than Austin for the office setting.
San Luis Obispo-Paso Robles
California · 46930
Office
$271.46
Facility
$168.74
$13.45 higher than Austin for the office setting.
Santa Cruz-Watsonville
California · 46930
Office
$285.96
Facility
$176.38
$27.95 higher than Austin for the office setting.
Santa Maria-Santa Barbara
California · 46930
Office
$277.11
Facility
$171.96
$19.10 higher than Austin for the office setting.
Santa Rosa-Petaluma
California · 46930
Office
$288.87
Facility
$178.13
$30.86 higher than Austin for the office setting.
Stockton
California · 46930
Office
$263.37
Facility
$164.53
$5.36 higher than Austin for the office setting.
Vallejo
California · 46930
Office
$306.96
Facility
$188.10
$48.95 higher than Austin for the office setting.
Visalia
California · 46930
Office
$263.37
Facility
$164.53
$5.36 higher than Austin for the office setting.
Yuba City
California · 46930
Office
$263.37
Facility
$164.53
$5.36 higher than Austin for the office setting.
Colorado
Colorado · 46930
Office
$258.89
Facility
$162.94
$0.88 higher than Austin for the office setting.
Connecticut
Connecticut · 46930
Office
$264.91
Facility
$167.78
$6.90 higher than Austin for the office setting.
Delaware
Delaware · 46930
Office
$245.10
Facility
$156.00
$12.91 lower than Austin for the office setting.
Fort Lauderdale
Florida · 46930
Office
$256.22
Facility
$164.86
$1.79 lower than Austin for the office setting.
Rest Of Florida
Florida · 46930
Office
$243.26
Facility
$157.04
$14.75 lower than Austin for the office setting.
Atlanta
Georgia · 46930
Office
$252.48
Facility
$160.85
$5.53 lower than Austin for the office setting.
Rest Of Georgia
Georgia · 46930
Office
$228.94
Facility
$148.49
$29.07 lower than Austin for the office setting.
Hawaii, Guam
Hawaii · 46930
Office
$270.50
Facility
$167.97
$12.49 higher than Austin for the office setting.
Iowa
Iowa · 46930
Office
$227.42
Facility
$144.90
$30.59 lower than Austin for the office setting.
Idaho
Idaho · 46930
Office
$228.92
Facility
$145.95
$29.09 lower than Austin for the office setting.
East St. Louis
Illinois · 46930
Office
$240.24
Facility
$157.27
$17.77 lower than Austin for the office setting.
Rest Of Illinois
Illinois · 46930
Office
$235.61
Facility
$153.28
$22.40 lower than Austin for the office setting.
Suburban Chicago
Illinois · 46930
Office
$258.95
Facility
$166.33
$0.94 higher than Austin for the office setting.
Indiana
Indiana · 46930
Office
$230.33
Facility
$146.73
$27.68 lower than Austin for the office setting.
Kansas
Kansas · 46930
Office
$226.14
Facility
$144.61
$31.87 lower than Austin for the office setting.
Kentucky
Kentucky · 46930
Office
$226.34
Facility
$146.16
$31.67 lower than Austin for the office setting.
New Orleans
Louisiana · 46930
Office
$237.74
Facility
$152.88
$20.27 lower than Austin for the office setting.
Rest Of Louisiana
Louisiana · 46930
Office
$225.90
Facility
$146.09
$32.11 lower than Austin for the office setting.
Metropolitan Boston
Massachusetts · 46930
Office
$285.66
Facility
$177.98
$27.65 higher than Austin for the office setting.
Rest Of Massachusetts
Massachusetts · 46930
Office
$257.15
Facility
$162.19
$0.86 lower than Austin for the office setting.
Baltimore/Surr. Cntys
Maryland · 46930
Office
$264.14
Facility
$167.38
$6.13 higher than Austin for the office setting.
Rest Of Maryland
Maryland · 46930
Office
$250.01
Facility
$158.75
$8.00 lower than Austin for the office setting.
Rest Of Maine
Maine · 46930
Office
$230.01
Facility
$147.05
$28.00 lower than Austin for the office setting.
Southern Maine
Maine · 46930
Office
$243.43
Facility
$154.06
$14.58 lower than Austin for the office setting.
Detroit
Michigan · 46930
Office
$246.29
Facility
$159.27
$11.72 lower than Austin for the office setting.
Rest Of Michigan
Michigan · 46930
Office
$232.42
Facility
$150.09
$25.59 lower than Austin for the office setting.
Minnesota
Minnesota · 46930
Office
$248.11
Facility
$155.32
$9.90 lower than Austin for the office setting.
Metropolitan Kansas City
Missouri · 46930
Office
$236.19
Facility
$151.51
$21.82 lower than Austin for the office setting.
Metropolitan St. Louis
Missouri · 46930
Office
$238.82
Facility
$152.97
$19.19 lower than Austin for the office setting.
Rest Of Missouri
Missouri · 46930
Office
$221.69
Facility
$143.96
$36.32 lower than Austin for the office setting.
Mississippi
Mississippi · 46930
Office
$219.78
Facility
$142.13
$38.23 lower than Austin for the office setting.
Montana**
Montana · 46930
Office
$247.82
Facility
$157.64
$10.19 lower than Austin for the office setting.
North Carolina
North Carolina · 46930
Office
$232.58
Facility
$148.44
$25.43 lower than Austin for the office setting.
North Dakota**
North Dakota · 46930
Office
$243.47
Facility
$153.29
$14.54 lower than Austin for the office setting.
Nebraska
Nebraska · 46930
Office
$228.78
Facility
$145.55
$29.23 lower than Austin for the office setting.
New Hampshire
New Hampshire · 46930
Office
$254.63
Facility
$160.75
$3.38 lower than Austin for the office setting.
Northern Nj
New Jersey · 46930
Office
$281.73
Facility
$177.11
$23.72 higher than Austin for the office setting.
Rest Of New Jersey
New Jersey · 46930
Office
$267.95
Facility
$169.47
$9.94 higher than Austin for the office setting.
New Mexico
New Mexico · 46930
Office
$233.70
Facility
$151.01
$24.31 lower than Austin for the office setting.
Nevada**
Nevada · 46930
Office
$246.80
Facility
$156.52
$11.21 lower than Austin for the office setting.
Nyc Suburbs/Long Island
New York · 46930
Office
$293.03
Facility
$185.80
$35.02 higher than Austin for the office setting.
Poughkpsie/N Nyc Suburbs
New York · 46930
Office
$269.60
Facility
$170.85
$11.59 higher than Austin for the office setting.
Queens
New York · 46930
Office
$288.66
Facility
$182.07
$30.65 higher than Austin for the office setting.
Rest Of New York
New York · 46930
Office
$236.25
Facility
$150.58
$21.76 lower than Austin for the office setting.
Ohio
Ohio · 46930
Office
$231.53
Facility
$149.20
$26.48 lower than Austin for the office setting.
Oklahoma
Oklahoma · 46930
Office
$226.07
Facility
$145.54
$31.94 lower than Austin for the office setting.
Portland
Oregon · 46930
Office
$267.67
Facility
$167.47
$9.66 higher than Austin for the office setting.
Rest Of Oregon
Oregon · 46930
Office
$244.90
Facility
$155.08
$13.11 lower than Austin for the office setting.
Metropolitan Philadelphia
Pennsylvania · 46930
Office
$257.91
Facility
$164.03
$0.10 lower than Austin for the office setting.
Rest Of Pennsylvania
Pennsylvania · 46930
Office
$232.01
Facility
$149.22
$26.00 lower than Austin for the office setting.
Puerto Rico
Puerto Rico · 46930
Office
$249.79
Facility
$158.62
$8.22 lower than Austin for the office setting.
Rhode Island
Rhode Island · 46930
Office
$254.24
Facility
$161.08
$3.77 lower than Austin for the office setting.
South Carolina
South Carolina · 46930
Office
$232.44
Facility
$149.11
$25.57 lower than Austin for the office setting.
South Dakota**
South Dakota · 46930
Office
$242.96
Facility
$152.77
$15.05 lower than Austin for the office setting.
Tennessee
Tennessee · 46930
Office
$227.32
Facility
$145.34
$30.69 lower than Austin for the office setting.
Utah
Utah · 46930
Office
$235.80
Facility
$151.03
$22.21 lower than Austin for the office setting.
Virginia
Virginia · 46930
Office
$242.48
Facility
$153.83
$15.53 lower than Austin for the office setting.
Virgin Islands
United States Virgin Islands · 46930
Office
$249.79
Facility
$158.62
$8.22 lower than Austin for the office setting.
Vermont
Vermont · 46930
Office
$242.32
Facility
$153.04
$15.69 lower than Austin for the office setting.
Rest Of Washington
Washington · 46930
Office
$256.73
Facility
$161.76
$1.28 lower than Austin for the office setting.
Seattle (King Cnty)
Washington · 46930
Office
$291.80
Facility
$181.14
$33.79 higher than Austin for the office setting.
Wisconsin
Wisconsin · 46930
Office
$234.85
Facility
$148.46
$23.16 lower than Austin for the office setting.
West Virginia
West Virginia · 46930
Office
$226.37
Facility
$148.00
$31.64 lower than Austin for the office setting.
Wyoming**
Wyoming · 46930
Office
$245.92
Facility
$155.74
$12.09 lower than Austin for the office setting.
See how rates vary across the country
46930 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
$217.76
$298.34
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $282.98 | 1 |
| AL | $221.14 | 1 |
| AR | $217.76 | 1 |
| AZ | $240.95 | 1 |
| CA | $263.37–$333.31 | 29 |
| CO | $258.89 | 1 |
| CT | $264.91 | 1 |
| DC | $284.97 | 1 |
| DE | $245.10 | 1 |
| FL | $243.26–$266.78 | 3 |
| GA | $228.94–$252.48 | 2 |
| GU | $270.50 | 1 |
| HI | $270.50 | 1 |
| IA | $227.42 | 1 |
| ID | $228.92 | 1 |
| IL | $235.61–$258.95 | 4 |
| IN | $230.33 | 1 |
| KS | $226.14 | 1 |
| KY | $226.34 | 1 |
| LA | $225.90–$237.74 | 2 |
| MA | $257.15–$285.66 | 2 |
| MD | $250.01–$284.97 | 3 |
| ME | $230.01–$243.43 | 2 |
| MI | $232.42–$246.29 | 2 |
| MN | $248.11 | 1 |
| MO | $221.69–$238.82 | 3 |
| MS | $219.78 | 1 |
| MT | $247.82 | 1 |
| NC | $232.58 | 1 |
| ND | $243.47 | 1 |
| NE | $228.78 | 1 |
| NH | $254.63 | 1 |
| NJ | $267.95–$281.73 | 2 |
| NM | $233.70 | 1 |
| NV | $246.80 | 1 |
| NY | $236.25–$293.03 | 5 |
| OH | $231.53 | 1 |
| OK | $226.07 | 1 |
| OR | $244.90–$267.67 | 2 |
| PA | $232.01–$257.91 | 2 |
| PR | $249.79 | 1 |
| RI | $254.24 | 1 |
| SC | $232.44 | 1 |
| SD | $242.96 | 1 |
| TN | $227.32 | 1 |
| TX | $230.39–$258.01 | 8 |
| UT | $235.80 | 1 |
| VA | $242.48–$284.97 | 2 |
| VI | $249.79 | 1 |
| VT | $242.32 | 1 |
| WA | $256.73–$291.80 | 2 |
| WI | $234.85 | 1 |
| WV | $226.37 | 1 |
| WY | $245.92 | 1 |
Where does this rate apply?
Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
- 46930 in Austin
Multiple payment areas
- 46930 in Barton Creek
- 46930 in Bee Cave
- 46930 in Briarcliff
- 46930 in Cedar Park
Multiple payment areas
- 46930 in Creedmoor
Multiple payment areas
- 46930 in Elgin
Multiple payment areas
- 46930 in Garfield
Why are the office and facility amounts different?
For 46930 in Austin, the physician’s office rate is $258.01 and the facility-setting rate is $162.60: a difference of $95.41.
The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 46930 in Austin. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$283.81
$258.01 × 110% = $283.81
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 46930 in Austin.
PPRRVU2026_Oct_nonQPP.csv
5,636
- Code
- 46930
- Physician work
- 1.57
- Practice expense
- 5.63
- Malpractice
- 0.22
GPCI2026.csv
96
- Locality
- Austin
- Physician work
- 1.002
- Practice expense
- 1.058
- Malpractice
- 0.886
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.57 | × 1.002 | 1.5731 |
| Practice expense | 5.63 | × 1.058 | 5.9565 |
| Malpractice | 0.22 | × 0.886 | 0.1949 |
| Total RVUs | 7.7246 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Austin$258.01
Open 46930 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.57 | 1.002 |
| Practice expense | 5.63 | 1.058 |
| Malpractice | 0.22 | 0.886 |
(1.57 × 1.002 + 5.63 × 1.058 + 0.22 × 0.886) × $33.4009 = $258.01
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.57 | 1.002 |
| Practice expense | 2.93 | 1.058 |
| Malpractice | 0.22 | 0.886 |
(1.57 × 1.002 + 2.93 × 1.058 + 0.22 × 0.886) × $33.4009 = $162.60
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
46930 · Office / nonfacility
$258.01
Effective 2026-10-01
The base rate is $36.39 higher than on 2025-10-01, moving from $221.62 to $258.01 (16.4%).
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
$221.62changed to$258.01
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.61 changed to 1.57
- Practice expense RVU 4.81 changed to 5.63
- Malpractice RVU 0.23 changed to 0.22
- 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
Earliest loaded release: $221.62
Held through RVU25B, RVU25C, RVU25D.
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
46930 billing questions
When should 46930 be chosen instead of hemorrhoid ligation?
Use 46930 when thermal energy, such as infrared coagulation, destroys internal hemorrhoidal tissue. Rubber-band ligation is reported with the applicable ligation code, such as 46945 or 46946.
Does the number of hemorrhoids treated determine separate units?
The descriptor covers internal hemorrhoid or hemorrhoids. Document the treatment performed; do not assume each treated hemorrhoid is a separate unit.
Is follow-up care included in the procedure payment?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can modifier 50 be used for treatment on both sides?
No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this service.
When is an assistant at surgery payable?
Assistant-at-surgery payment is allowed only when medical necessity is documented. Co-surgeons and team surgery are not permitted.
How are other procedures in the same session paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the others at 50%.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
5,63346917,,Laser surgery anal lesions,A,,1.86,11.75,,1.47,,0.29,13.90,3.62,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,63446922,,Excision of anal lesion(s),A,,1.86,8.09,,1.80,,0.36,10.31,4.02,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,63546924,,Destruction anal lesion(s),A,,2.74,15.44,,1.98,,0.43,18.61,5.15,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,63646930,,Destroy internal hemorrhoids,A,,1.57,5.63,,2.93,,0.22,7.42,4.72,0,090,0.09,0.81,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,63746940,,Treatment of anal fissure,A,,2.29,6.05,,1.45,,0.35,8.69,4.09,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,63846942,,Treatment of anal fissure,A,,2.02,6.01,,1.39,,0.29,8.32,3.70,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,63946945,,Int hrhc lig 1 hroid w/o img,A,,3.60,6.27,NA,6.27,,0.62,10.49,10.49,0,090,0.09,0.81,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780
9904412,TX,11,DALLAS,1.009,0.996,0.858