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CMS RVU26D · Effective 2026-10-01

46924 in El Centro

Office / nonfacility

$666.06

Base rate per service

Facility setting

$173.33

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.

Anorectal procedures

About 46924: Extensive anal lesion destruction

Reports extensive destruction of anal lesions, such as condylomata, when the treatment involves a broader lesion burden than simple destruction.

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.

CMS billing rules for 46924

Global period
Minor procedure with a 10-day global period: related postoperative visits for 10 days 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
Statutory restriction: assistant at surgery is not paid.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU2.74 · 15%
  • Practice expense (office) RVU15.44 · 83%
  • Malpractice RVU0.43 · 2%

1.8K

Medicare services in 2024 · #2539 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.

46924 compared with similar codes

Office rates for El Centro, from the same CMS release.

46900

Anal lesion destruction

Simple lesions

$284.60

Choose 46900 for simple destruction and 46924 for extensive destruction. The documented scope of treatment, not lesion count alone, supports the distinction.

46917

Anal lesion laser

Simple, laser surgery

$498.56

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.

46922

Anal lesion excision

One or more lesions

$365.84

46922 is for excising anal lesions; 46924 is for destroying them without excision.

The same code, a different location

How does El Centro compare?

In Bakersfield, the office rate for 46924 is $667.22—$1.16 higher than the $666.06 rate in El Centro. Both use the same code, release and participation basis.

46924 across payment areas

Same release and payment basis · bars start at $0

  1. El Centro · This locality

    $666.06

  2. Bakersfield

    $667.22

    $1.16 higher than El Centro

  3. Chico

    $665.99

    $0.07 lower than El Centro

  4. Fresno

    $665.99

    $0.07 lower than El Centro

  5. Hanford-Corcoran

    $665.99

    $0.07 lower than El Centro

  6. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $714.89

    $48.83 higher than El Centro

  7. Madera

    $665.99

    $0.07 lower than El Centro

Other payment areas listed in California 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, 46924 ranges from $541.91 in Arkansas to $852.94 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

  • Merced

    California · 46924

    Office

    $665.99

    Facility

    $173.26

    $0.07 lower than El Centro for the office setting.

  • Modesto

    California · 46924

    Office

    $665.99

    Facility

    $173.26

    $0.07 lower than El Centro for the office setting.

  • Napa

    California · 46924

    Office

    $784.29

    Facility

    $191.74

    $118.23 higher than El Centro for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 46924

    Office

    $712.60

    Facility

    $181.20

    $46.54 higher than El Centro for the office setting.

  • Redding

    California · 46924

    Office

    $665.99

    Facility

    $173.26

    $0.07 lower than El Centro for the office setting.

  • Rest Of California

    California · 46924

    Office

    $665.99

    Facility

    $173.26

    $0.07 lower than El Centro for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 46924

    Office

    $670.63

    Facility

    $177.90

    $4.57 higher than El Centro for the office setting.

  • Sacramento-Roseville-Folsom

    California · 46924

    Office

    $702.28

    Facility

    $179.42

    $36.22 higher than El Centro for the office setting.

  • Salinas

    California · 46924

    Office

    $699.76

    Facility

    $178.70

    $33.70 higher than El Centro for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 46924

    Office

    $718.84

    Facility

    $181.14

    $52.78 higher than El Centro for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 46924

    Office

    $833.96

    Facility

    $200.05

    $167.90 higher than El Centro for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 46924

    Office

    $833.47

    Facility

    $199.57

    $167.41 higher than El Centro for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 46924

    Office

    $852.94

    Facility

    $204.65

    $186.88 higher than El Centro for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 46924

    Office

    $850.94

    Facility

    $202.65

    $184.88 higher than El Centro for the office setting.

  • San Luis Obispo-Paso Robles

    California · 46924

    Office

    $688.17

    Facility

    $176.10

    $22.11 higher than El Centro for the office setting.

  • Santa Cruz-Watsonville

    California · 46924

    Office

    $727.73

    Facility

    $181.49

    $61.67 higher than El Centro for the office setting.

  • Santa Maria-Santa Barbara

    California · 46924

    Office

    $703.10

    Facility

    $178.89

    $37.04 higher than El Centro for the office setting.

  • Santa Rosa-Petaluma

    California · 46924

    Office

    $735.25

    Facility

    $183.17

    $69.19 higher than El Centro for the office setting.

  • Stockton

    California · 46924

    Office

    $665.99

    Facility

    $173.26

    $0.07 lower than El Centro for the office setting.

  • Vallejo

    California · 46924

    Office

    $783.58

    Facility

    $191.04

    $117.52 higher than El Centro for the office setting.

  • Visalia

    California · 46924

    Office

    $665.99

    Facility

    $173.26

    $0.07 lower than El Centro for the office setting.

  • Yuba City

    California · 46924

    Office

    $665.99

    Facility

    $173.26

    $0.07 lower than El Centro for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 46924

    Office

    $719.95

    Facility

    $190.35

    $53.89 higher than El Centro for the office setting.

  • Miami

    Florida · 46924

    Office

    $664.69

    Facility

    $196.69

    $1.37 lower than El Centro for the office setting.

  • Chicago

    Illinois · 46924

    Office

    $643.41

    Facility

    $191.59

    $22.65 lower than El Centro for the office setting.

  • Manhattan

    New York · 46924

    Office

    $719.41

    Facility

    $197.00

    $53.35 higher than El Centro for the office setting.

  • Alaska*

    Alaska · 46924

    Office

    $694.42

    Facility

    $215.62

    $28.36 higher than El Centro for the office setting.

  • Alabama

    Alabama · 46924

    Office

    $550.89

    Facility

    $157.51

    $115.17 lower than El Centro for the office setting.

  • Arkansas

    Arkansas · 46924

    Office

    $541.91

    Facility

    $155.72

    $124.15 lower than El Centro for the office setting.

  • Arizona

    Arizona · 46924

    Office

    $603.54

    Facility

    $167.90

    $62.52 lower than El Centro for the office setting.

  • Colorado

    Colorado · 46924

    Office

    $652.55

    Facility

    $174.20

    $13.51 lower than El Centro for the office setting.

  • Connecticut

    Connecticut · 46924

    Office

    $666.15

    Facility

    $181.95

    $0.09 higher than El Centro for the office setting.

  • Delaware

    Delaware · 46924

    Office

    $614.41

    Facility

    $170.23

    $51.65 lower than El Centro for the office setting.

  • Fort Lauderdale

    Florida · 46924

    Office

    $639.90

    Facility

    $184.48

    $26.16 lower than El Centro for the office setting.

  • Rest Of Florida

    Florida · 46924

    Office

    $606.12

    Facility

    $176.33

    $59.94 lower than El Centro for the office setting.

  • Atlanta

    Georgia · 46924

    Office

    $633.00

    Facility

    $176.23

    $33.06 lower than El Centro for the office setting.

  • Rest Of Georgia

    Georgia · 46924

    Office

    $568.65

    Facility

    $167.63

    $97.41 lower than El Centro for the office setting.

  • Hawaii, Guam

    Hawaii · 46924

    Office

    $686.20

    Facility

    $175.03

    $20.14 higher than El Centro for the office setting.

  • Iowa

    Iowa · 46924

    Office

    $569.09

    Facility

    $157.73

    $96.97 lower than El Centro for the office setting.

  • Idaho

    Idaho · 46924

    Office

    $572.76

    Facility

    $159.15

    $93.30 lower than El Centro for the office setting.

  • East St. Louis

    Illinois · 46924

    Office

    $594.90

    Facility

    $181.29

    $71.16 lower than El Centro for the office setting.

  • Rest Of Illinois

    Illinois · 46924

    Office

    $584.81

    Facility

    $174.35

    $81.25 lower than El Centro for the office setting.

  • Suburban Chicago

    Illinois · 46924

    Office

    $647.24

    Facility

    $185.53

    $18.82 lower than El Centro for the office setting.

  • Indiana

    Indiana · 46924

    Office

    $576.56

    Facility

    $159.80

    $89.50 lower than El Centro for the office setting.

  • Kansas

    Kansas · 46924

    Office

    $564.96

    Facility

    $158.54

    $101.10 lower than El Centro for the office setting.

  • Kentucky

    Kentucky · 46924

    Office

    $563.13

    Facility

    $163.45

    $102.93 lower than El Centro for the office setting.

  • New Orleans

    Louisiana · 46924

    Office

    $593.12

    Facility

    $170.07

    $72.94 lower than El Centro for the office setting.

  • Rest Of Louisiana

    Louisiana · 46924

    Office

    $561.68

    Facility

    $163.81

    $104.38 lower than El Centro for the office setting.

  • Metropolitan Boston

    Massachusetts · 46924

    Office

    $723.81

    Facility

    $187.02

    $57.75 higher than El Centro for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 46924

    Office

    $647.47

    Facility

    $174.07

    $18.59 lower than El Centro for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 46924

    Office

    $664.11

    Facility

    $181.71

    $1.95 lower than El Centro for the office setting.

  • Rest Of Maryland

    Maryland · 46924

    Office

    $627.52

    Facility

    $172.55

    $38.54 lower than El Centro for the office setting.

  • Rest Of Maine

    Maine · 46924

    Office

    $574.90

    Facility

    $161.29

    $91.16 lower than El Centro for the office setting.

  • Southern Maine

    Maine · 46924

    Office

    $611.65

    Facility

    $166.12

    $54.41 lower than El Centro for the office setting.

  • Detroit

    Michigan · 46924

    Office

    $613.39

    Facility

    $179.55

    $52.67 lower than El Centro for the office setting.

  • Rest Of Michigan

    Michigan · 46924

    Office

    $578.58

    Facility

    $168.11

    $87.48 lower than El Centro for the office setting.

  • Minnesota

    Minnesota · 46924

    Office

    $626.44

    Facility

    $163.82

    $39.62 lower than El Centro for the office setting.

  • Metropolitan Kansas City

    Missouri · 46924

    Office

    $589.80

    Facility

    $167.65

    $76.26 lower than El Centro for the office setting.

  • Metropolitan St. Louis

    Missouri · 46924

    Office

    $596.87

    Facility

    $168.87

    $69.19 lower than El Centro for the office setting.

  • Rest Of Missouri

    Missouri · 46924

    Office

    $550.05

    Facility

    $162.51

    $116.01 lower than El Centro for the office setting.

  • Mississippi

    Mississippi · 46924

    Office

    $546.16

    Facility

    $159.07

    $119.90 lower than El Centro for the office setting.

  • Montana**

    Montana · 46924

    Office

    $621.56

    Facility

    $171.99

    $44.50 lower than El Centro for the office setting.

  • North Carolina

    North Carolina · 46924

    Office

    $581.85

    Facility

    $162.40

    $84.21 lower than El Centro for the office setting.

  • North Dakota**

    North Dakota · 46924

    Office

    $613.06

    Facility

    $163.48

    $53.00 lower than El Centro for the office setting.

  • Nebraska

    Nebraska · 46924

    Office

    $572.95

    Facility

    $157.99

    $93.11 lower than El Centro for the office setting.

  • New Hampshire

    New Hampshire · 46924

    Office

    $640.94

    Facility

    $172.93

    $25.12 lower than El Centro for the office setting.

  • Northern Nj

    New Jersey · 46924

    Office

    $710.85

    Facility

    $189.34

    $44.79 higher than El Centro for the office setting.

  • Rest Of New Jersey

    New Jersey · 46924

    Office

    $674.09

    Facility

    $183.15

    $8.03 higher than El Centro for the office setting.

  • New Mexico

    New Mexico · 46924

    Office

    $581.67

    Facility

    $169.41

    $84.39 lower than El Centro for the office setting.

  • Nevada**

    Nevada · 46924

    Office

    $619.71

    Facility

    $169.68

    $46.35 lower than El Centro for the office setting.

  • Nyc Suburbs/Long Island

    New York · 46924

    Office

    $737.23

    Facility

    $202.68

    $71.17 higher than El Centro for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 46924

    Office

    $677.72

    Facility

    $185.43

    $11.66 higher than El Centro for the office setting.

  • Queens

    New York · 46924

    Office

    $727.66

    Facility

    $196.26

    $61.60 higher than El Centro for the office setting.

  • Rest Of New York

    New York · 46924

    Office

    $591.54

    Facility

    $164.44

    $74.52 lower than El Centro for the office setting.

  • Ohio

    Ohio · 46924

    Office

    $576.84

    Facility

    $166.38

    $89.22 lower than El Centro for the office setting.

  • Oklahoma

    Oklahoma · 46924

    Office

    $563.21

    Facility

    $161.74

    $102.85 lower than El Centro for the office setting.

  • Portland

    Oregon · 46924

    Office

    $676.62

    Facility

    $177.14

    $10.56 higher than El Centro for the office setting.

  • Rest Of Oregon

    Oregon · 46924

    Office

    $615.26

    Facility

    $167.48

    $50.80 lower than El Centro for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 46924

    Office

    $647.15

    Facility

    $179.15

    $18.91 lower than El Centro for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 46924

    Office

    $578.51

    Facility

    $165.80

    $87.55 lower than El Centro for the office setting.

  • Puerto Rico

    Puerto Rico · 46924

    Office

    $627.05

    Facility

    $172.53

    $39.01 lower than El Centro for the office setting.

  • Rhode Island

    Rhode Island · 46924

    Office

    $638.80

    Facility

    $174.38

    $27.26 lower than El Centro for the office setting.

  • South Carolina

    South Carolina · 46924

    Office

    $580.24

    Facility

    $164.83

    $85.82 lower than El Centro for the office setting.

  • South Dakota**

    South Dakota · 46924

    Office

    $612.05

    Facility

    $162.48

    $54.01 lower than El Centro for the office setting.

  • Tennessee

    Tennessee · 46924

    Office

    $568.01

    Facility

    $159.35

    $98.05 lower than El Centro for the office setting.

  • Austin

    Texas · 46924

    Office

    $650.05

    Facility

    $174.40

    $16.01 lower than El Centro for the office setting.

  • Beaumont

    Texas · 46924

    Office

    $574.16

    Facility

    $165.04

    $91.90 lower than El Centro for the office setting.

  • Brazoria

    Texas · 46924

    Office

    $614.52

    Facility

    $168.99

    $51.54 lower than El Centro for the office setting.

  • Dallas

    Texas · 46924

    Office

    $618.31

    Facility

    $170.53

    $47.75 lower than El Centro for the office setting.

  • Fort Worth

    Texas · 46924

    Office

    $613.34

    Facility

    $170.06

    $52.72 lower than El Centro for the office setting.

  • Galveston

    Texas · 46924

    Office

    $616.24

    Facility

    $169.81

    $49.82 lower than El Centro for the office setting.

  • Houston

    Texas · 46924

    Office

    $624.11

    Facility

    $177.68

    $41.95 lower than El Centro for the office setting.

  • Rest Of Texas

    Texas · 46924

    Office

    $593.90

    Facility

    $167.25

    $72.16 lower than El Centro for the office setting.

  • Utah

    Utah · 46924

    Office

    $589.18

    Facility

    $166.58

    $76.88 lower than El Centro for the office setting.

  • Virginia

    Virginia · 46924

    Office

    $608.60

    Facility

    $166.67

    $57.46 lower than El Centro for the office setting.

  • Virgin Islands

    United States Virgin Islands · 46924

    Office

    $627.05

    Facility

    $172.53

    $39.01 lower than El Centro for the office setting.

  • Vermont

    Vermont · 46924

    Office

    $609.34

    Facility

    $164.26

    $56.72 lower than El Centro for the office setting.

  • Rest Of Washington

    Washington · 46924

    Office

    $646.68

    Facility

    $173.28

    $19.38 lower than El Centro for the office setting.

  • Seattle (King Cnty)

    Washington · 46924

    Office

    $740.60

    Facility

    $188.97

    $74.54 higher than El Centro for the office setting.

  • Wisconsin

    Wisconsin · 46924

    Office

    $589.99

    Facility

    $159.30

    $76.07 lower than El Centro for the office setting.

  • West Virginia

    West Virginia · 46924

    Office

    $560.22

    Facility

    $169.54

    $105.84 lower than El Centro for the office setting.

  • Wyoming**

    Wyoming · 46924

    Office

    $617.86

    Facility

    $168.28

    $48.20 lower than El Centro for the office setting.

See how rates vary across the country

46924 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$541.91

$759.47

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$694.421
AL$550.891
AR$541.911
AZ$603.541
CA$665.99–$852.9429
CO$652.551
CT$666.151
DC$719.951
DE$614.411
FL$606.12–$664.693
GA$568.65–$633.002
GU$686.201
HI$686.201
IA$569.091
ID$572.761
IL$584.81–$647.244
IN$576.561
KS$564.961
KY$563.131
LA$561.68–$593.122
MA$647.47–$723.812
MD$627.52–$719.953
ME$574.90–$611.652
MI$578.58–$613.392
MN$626.441
MO$550.05–$596.873
MS$546.161
MT$621.561
NC$581.851
ND$613.061
NE$572.951
NH$640.941
NJ$674.09–$710.852
NM$581.671
NV$619.711
NY$591.54–$737.235
OH$576.841
OK$563.211
OR$615.26–$676.622
PA$578.51–$647.152
PR$627.051
RI$638.801
SC$580.241
SD$612.051
TN$568.011
TX$574.16–$650.058
UT$589.181
VA$608.60–$719.952
VI$627.051
VT$609.341
WA$646.68–$740.602
WI$589.991
WV$560.221
WY$617.861

Explore 46924 on the national rate map →

Where does this rate apply?

El Centro is a Medicare payment area. Our Census mapping connects it to 18 cities and communities in California, 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.

Browse all communities in California →

Why are the office and facility amounts different?

For 46924 in El Centro, the physician’s office rate is $666.06 and the facility-setting rate is $173.33: a difference of $492.73.

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.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 46924 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$732.67

$666.06 × 110% = $732.67

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.

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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 46924 in El Centro.

PPRRVU2026_Oct_nonQPP.csv

5,635

Code
46924
Physician work
2.74
Practice expense
15.44
Malpractice
0.43

GPCI2026.csv

10

Locality
El Centro
Physician work
1.017
Practice expense
1.096
Malpractice
0.541
Office / nonfacility calculation for 46924 in El Centro
ComponentRVULocality factorAdjusted
Physician work2.74× 1.0172.7866
Practice expense15.44× 1.09616.9222
Malpractice0.43× 0.5410.2326
Total RVUs19.9415
Conversion factor× 33.4009

Office / nonfacility rate, El Centro$666.06

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 46924 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work2.741.017
Practice expense15.441.096
Malpractice0.430.541

(2.74 × 1.017 + 15.44 × 1.096 + 0.43 × 0.541) × $33.4009 = $666.06

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work2.741.017
Practice expense1.981.096
Malpractice0.430.541

(2.74 × 1.017 + 1.98 × 1.096 + 0.43 × 0.541) × $33.4009 = $173.33

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

46924 · Office / nonfacility

$666.06

Effective 2026-10-01

The base rate is $94.69 higher than on 2025-10-01, moving from $571.37 to $666.06 (16.6%).

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

    $571.37changed to$666.06

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.81 changed to 2.74
    • Practice expense RVU 13.33 changed to 15.44
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.570 changed to 0.541

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $571.37

    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
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$666.06$173.33RVU26D
2026-07-01$666.06$173.33RVU26C
2026-04-01$666.06$173.33RVU26B
2026-01-01$666.06$173.33RVU26A
2025-10-01$571.37$181.41RVU25D
2025-07-01$571.37$181.41RVU25C
2025-04-01$571.37$181.41RVU25B
2025-01-01$571.37$181.41RVU25A

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 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.

RVUs for 46924PPRRVU2026_Oct_nonQPP.csv, line 5,635 (RVU26D)
Geographic factors for El CentroGPCI2026.csv, line 10 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet