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CMS RVU26D · Effective 2026-10-01

46900 in Merced

Office / nonfacility

$284.55

Base rate per service

Facility setting

$135.19

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 46900: Simple anal lesion destruction

Reports destruction of simple anal lesions, such as condyloma, when the service treats limited lesions rather than extensive disease or removes tissue by excision.

This code covers destruction of simple lesions on the anus, including lesions such as condyloma, papilloma, or molluscum contagiosum. A colorectal or general surgeon commonly performs the service in an office or outpatient setting. The treatment destroys the lesion rather than removing it as a specimen for excisional pathology. The distinction from more extensive treatment and from technique-specific procedures is central to code selection.

Document the lesion location, number and extent, the destruction performed, and why the service meets the simple-lesion level. Report the code for the session’s service rather than treating each lesion as a separate unit. Related postoperative visits during the 10-day global period are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate for this anal-site service. Medicare does not pay an assistant at surgery, and co-surgeons and team surgery are not permitted.

CMS billing rules for 46900

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 RVU1.86 · 23%
  • Practice expense (office) RVU5.92 · 74%
  • Malpractice RVU0.26 · 3%

692

Medicare services in 2024 · #3276 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.

46900 compared with similar codes

Office rates for Merced, from the same CMS release.

46910

Anal lesion destruction

Extensive lesions

$314.55

46900 is for simple anal lesion destruction; 46910 is the more extensive level. The documented scope of treatment supports the distinction.

46916

Anal lesion treatment

Cryosurgery, simple lesions

$269.93

46916 identifies cryosurgery for anal lesions. Use 46900 when the service is simple destruction not represented by that technique-specific code.

46917

Anal lesion laser

Simple, laser surgery

$498.51

46917 identifies laser surgery for anal lesions. Use 46900 for simple destruction performed by another method.

46922

Anal lesion excision

One or more lesions

$365.78

46922 is for excision, in which lesion tissue is removed. Use 46900 when the lesion is destroyed rather than excised.

The same code, a different location

How does Merced compare?

In Bakersfield, the office rate for 46900 is $285.31—$0.76 higher than the $284.55 rate in Merced. Both use the same code, release and participation basis.

46900 across payment areas

Same release and payment basis · bars start at $0

  1. Merced · This locality

    $284.55

  2. Bakersfield

    $285.31

    $0.76 higher than Merced

  3. Chico

    $284.55

    The same base rate than Merced

  4. El Centro

    $284.60

    $0.05 higher than Merced

  5. Fresno

    $284.55

    The same base rate than Merced

  6. Hanford-Corcoran

    $284.55

    The same base rate than Merced

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

    $304.36

    $19.81 higher than Merced

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, 46900 ranges from $236.45 in Arkansas to $358.75 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

  • Madera

    California · 46900

    Office

    $284.55

    Facility

    $135.19

    The same base rate than Merced for the office setting.

  • Modesto

    California · 46900

    Office

    $284.55

    Facility

    $135.19

    The same base rate than Merced for the office setting.

  • Napa

    California · 46900

    Office

    $331.06

    Facility

    $151.45

    $46.51 higher than Merced for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 46900

    Office

    $303.00

    Facility

    $141.92

    $18.45 higher than Merced for the office setting.

  • Redding

    California · 46900

    Office

    $284.55

    Facility

    $135.19

    The same base rate than Merced for the office setting.

  • Rest Of California

    California · 46900

    Office

    $284.55

    Facility

    $135.19

    The same base rate than Merced for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 46900

    Office

    $287.37

    Facility

    $138.01

    $2.82 higher than Merced for the office setting.

  • Sacramento-Roseville-Folsom

    California · 46900

    Office

    $298.98

    Facility

    $140.49

    $14.43 higher than Merced for the office setting.

  • Salinas

    California · 46900

    Office

    $297.88

    Facility

    $139.94

    $13.33 higher than Merced for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 46900

    Office

    $305.19

    Facility

    $142.20

    $20.64 higher than Merced for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 46900

    Office

    $350.82

    Facility

    $158.67

    $66.27 higher than Merced for the office setting.

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

    California · 46900

    Office

    $350.52

    Facility

    $158.37

    $65.97 higher than Merced for the office setting.

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

    California · 46900

    Office

    $358.75

    Facility

    $162.24

    $74.20 higher than Merced for the office setting.

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

    California · 46900

    Office

    $357.54

    Facility

    $161.03

    $72.99 higher than Merced for the office setting.

  • San Luis Obispo-Paso Robles

    California · 46900

    Office

    $293.05

    Facility

    $137.84

    $8.50 higher than Merced for the office setting.

  • Santa Cruz-Watsonville

    California · 46900

    Office

    $308.33

    Facility

    $142.76

    $23.78 higher than Merced for the office setting.

  • Santa Maria-Santa Barbara

    California · 46900

    Office

    $299.08

    Facility

    $140.18

    $14.53 higher than Merced for the office setting.

  • Santa Rosa-Petaluma

    California · 46900

    Office

    $311.46

    Facility

    $144.11

    $26.91 higher than Merced for the office setting.

  • Stockton

    California · 46900

    Office

    $284.55

    Facility

    $135.19

    The same base rate than Merced for the office setting.

  • Vallejo

    California · 46900

    Office

    $330.64

    Facility

    $151.03

    $46.09 higher than Merced for the office setting.

  • Visalia

    California · 46900

    Office

    $284.55

    Facility

    $135.19

    The same base rate than Merced for the office setting.

  • Yuba City

    California · 46900

    Office

    $284.55

    Facility

    $135.19

    The same base rate than Merced for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 46900

    Office

    $308.08

    Facility

    $147.54

    $23.53 higher than Merced for the office setting.

  • Miami

    Florida · 46900

    Office

    $289.93

    Facility

    $148.07

    $5.38 higher than Merced for the office setting.

  • Chicago

    Illinois · 46900

    Office

    $281.21

    Facility

    $144.26

    $3.34 lower than Merced for the office setting.

  • Manhattan

    New York · 46900

    Office

    $309.64

    Facility

    $151.29

    $25.09 higher than Merced for the office setting.

  • Alaska*

    Alaska · 46900

    Office

    $308.56

    Facility

    $163.43

    $24.01 higher than Merced for the office setting.

  • Alabama

    Alabama · 46900

    Office

    $240.06

    Facility

    $120.82

    $44.49 lower than Merced for the office setting.

  • Arkansas

    Arkansas · 46900

    Office

    $236.45

    Facility

    $119.39

    $48.10 lower than Merced for the office setting.

  • Arizona

    Arizona · 46900

    Office

    $261.16

    Facility

    $129.11

    $23.39 lower than Merced for the office setting.

  • Colorado

    Colorado · 46900

    Office

    $280.04

    Facility

    $135.04

    $4.51 lower than Merced for the office setting.

  • Connecticut

    Connecticut · 46900

    Office

    $286.83

    Facility

    $140.07

    $2.28 higher than Merced for the office setting.

  • Delaware

    Delaware · 46900

    Office

    $265.60

    Facility

    $130.96

    $18.95 lower than Merced for the office setting.

  • Fort Lauderdale

    Florida · 46900

    Office

    $278.13

    Facility

    $140.08

    $6.42 lower than Merced for the office setting.

  • Rest Of Florida

    Florida · 46900

    Office

    $264.21

    Facility

    $133.93

    $20.34 lower than Merced for the office setting.

  • Atlanta

    Georgia · 46900

    Office

    $273.64

    Facility

    $135.18

    $10.91 lower than Merced for the office setting.

  • Rest Of Georgia

    Georgia · 46900

    Office

    $248.86

    Facility

    $127.30

    $35.69 lower than Merced for the office setting.

  • Hawaii, Guam

    Hawaii · 46900

    Office

    $291.98

    Facility

    $137.03

    $7.43 higher than Merced for the office setting.

  • Iowa

    Iowa · 46900

    Office

    $246.50

    Facility

    $121.81

    $38.05 lower than Merced for the office setting.

  • Idaho

    Idaho · 46900

    Office

    $248.15

    Facility

    $122.77

    $36.40 lower than Merced for the office setting.

  • East St. Louis

    Illinois · 46900

    Office

    $261.53

    Facility

    $136.16

    $23.02 lower than Merced for the office setting.

  • Rest Of Illinois

    Illinois · 46900

    Office

    $256.23

    Facility

    $131.81

    $28.32 lower than Merced for the office setting.

  • Suburban Chicago

    Illinois · 46900

    Office

    $281.02

    Facility

    $141.07

    $3.53 lower than Merced for the office setting.

  • Indiana

    Indiana · 46900

    Office

    $249.65

    Facility

    $123.32

    $34.90 lower than Merced for the office setting.

  • Kansas

    Kansas · 46900

    Office

    $245.25

    Facility

    $122.06

    $39.30 lower than Merced for the office setting.

  • Kentucky

    Kentucky · 46900

    Office

    $245.86

    Facility

    $124.71

    $38.69 lower than Merced for the office setting.

  • New Orleans

    Louisiana · 46900

    Office

    $258.06

    Facility

    $129.82

    $26.49 lower than Merced for the office setting.

  • Rest Of Louisiana

    Louisiana · 46900

    Office

    $245.44

    Facility

    $124.84

    $39.11 lower than Merced for the office setting.

  • Metropolitan Boston

    Massachusetts · 46900

    Office

    $308.50

    Facility

    $145.78

    $23.95 higher than Merced for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 46900

    Office

    $278.25

    Facility

    $134.76

    $6.30 lower than Merced for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 46900

    Office

    $286.03

    Facility

    $139.81

    $1.48 higher than Merced for the office setting.

  • Rest Of Maryland

    Maryland · 46900

    Office

    $270.83

    Facility

    $132.91

    $13.72 lower than Merced for the office setting.

  • Rest Of Maine

    Maine · 46900

    Office

    $249.44

    Facility

    $124.07

    $35.11 lower than Merced for the office setting.

  • Southern Maine

    Maine · 46900

    Office

    $263.56

    Facility

    $128.51

    $20.99 lower than Merced for the office setting.

  • Detroit

    Michigan · 46900

    Office

    $267.58

    Facility

    $136.07

    $16.97 lower than Merced for the office setting.

  • Rest Of Michigan

    Michigan · 46900

    Office

    $252.46

    Facility

    $128.04

    $32.09 lower than Merced for the office setting.

  • Minnesota

    Minnesota · 46900

    Office

    $268.16

    Facility

    $127.94

    $16.39 lower than Merced for the office setting.

  • Metropolitan Kansas City

    Missouri · 46900

    Office

    $256.28

    Facility

    $128.32

    $28.27 lower than Merced for the office setting.

  • Metropolitan St. Louis

    Missouri · 46900

    Office

    $259.07

    Facility

    $129.33

    $25.48 lower than Merced for the office setting.

  • Rest Of Missouri

    Missouri · 46900

    Office

    $241.03

    Facility

    $123.56

    $43.52 lower than Merced for the office setting.

  • Mississippi

    Mississippi · 46900

    Office

    $238.79

    Facility

    $121.46

    $45.76 lower than Merced for the office setting.

  • Montana**

    Montana · 46900

    Office

    $268.53

    Facility

    $132.25

    $16.02 lower than Merced for the office setting.

  • North Carolina

    North Carolina · 46900

    Office

    $252.16

    Facility

    $125.01

    $32.39 lower than Merced for the office setting.

  • North Dakota**

    North Dakota · 46900

    Office

    $263.38

    Facility

    $127.11

    $21.17 lower than Merced for the office setting.

  • Nebraska

    Nebraska · 46900

    Office

    $247.92

    Facility

    $122.13

    $36.63 lower than Merced for the office setting.

  • New Hampshire

    New Hampshire · 46900

    Office

    $275.56

    Facility

    $133.70

    $8.99 lower than Merced for the office setting.

  • Northern Nj

    New Jersey · 46900

    Office

    $304.69

    Facility

    $146.61

    $20.14 higher than Merced for the office setting.

  • Rest Of New Jersey

    New Jersey · 46900

    Office

    $290.06

    Facility

    $141.25

    $5.51 higher than Merced for the office setting.

  • New Mexico

    New Mexico · 46900

    Office

    $253.88

    Facility

    $128.91

    $30.67 lower than Merced for the office setting.

  • Nevada**

    Nevada · 46900

    Office

    $267.29

    Facility

    $130.88

    $17.26 lower than Merced for the office setting.

  • Nyc Suburbs/Long Island

    New York · 46900

    Office

    $317.33

    Facility

    $155.30

    $32.78 higher than Merced for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 46900

    Office

    $291.95

    Facility

    $142.73

    $7.40 higher than Merced for the office setting.

  • Queens

    New York · 46900

    Office

    $312.35

    Facility

    $151.27

    $27.80 higher than Merced for the office setting.

  • Rest Of New York

    New York · 46900

    Office

    $256.08

    Facility

    $126.62

    $28.47 lower than Merced for the office setting.

  • Ohio

    Ohio · 46900

    Office

    $251.41

    Facility

    $126.99

    $33.14 lower than Merced for the office setting.

  • Oklahoma

    Oklahoma · 46900

    Office

    $245.45

    Facility

    $123.76

    $39.10 lower than Merced for the office setting.

  • Portland

    Oregon · 46900

    Office

    $289.26

    Facility

    $137.86

    $4.71 higher than Merced for the office setting.

  • Rest Of Oregon

    Oregon · 46900

    Office

    $265.17

    Facility

    $129.44

    $19.38 lower than Merced for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 46900

    Office

    $279.44

    Facility

    $137.58

    $5.11 lower than Merced for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 46900

    Office

    $251.85

    Facility

    $126.75

    $32.70 lower than Merced for the office setting.

  • Puerto Rico

    Puerto Rico · 46900

    Office

    $270.59

    Facility

    $132.81

    $13.96 lower than Merced for the office setting.

  • Rhode Island

    Rhode Island · 46900

    Office

    $275.31

    Facility

    $134.54

    $9.24 lower than Merced for the office setting.

  • South Carolina

    South Carolina · 46900

    Office

    $252.21

    Facility

    $126.29

    $32.34 lower than Merced for the office setting.

  • South Dakota**

    South Dakota · 46900

    Office

    $262.78

    Facility

    $126.50

    $21.77 lower than Merced for the office setting.

  • Tennessee

    Tennessee · 46900

    Office

    $246.53

    Facility

    $122.65

    $38.02 lower than Merced for the office setting.

  • Austin

    Texas · 46900

    Office

    $279.15

    Facility

    $134.97

    $5.40 lower than Merced for the office setting.

  • Beaumont

    Texas · 46900

    Office

    $250.13

    Facility

    $126.12

    $34.42 lower than Merced for the office setting.

  • Brazoria

    Texas · 46900

    Office

    $265.35

    Facility

    $130.30

    $19.20 lower than Merced for the office setting.

  • Dallas

    Texas · 46900

    Office

    $267.08

    Facility

    $131.35

    $17.47 lower than Merced for the office setting.

  • Fort Worth

    Texas · 46900

    Office

    $265.21

    Facility

    $130.85

    $19.34 lower than Merced for the office setting.

  • Galveston

    Texas · 46900

    Office

    $266.16

    Facility

    $130.84

    $18.39 lower than Merced for the office setting.

  • Houston

    Texas · 46900

    Office

    $270.92

    Facility

    $135.60

    $13.63 lower than Merced for the office setting.

  • Rest Of Texas

    Texas · 46900

    Office

    $257.62

    Facility

    $128.29

    $26.93 lower than Merced for the office setting.

  • Utah

    Utah · 46900

    Office

    $255.79

    Facility

    $127.69

    $28.76 lower than Merced for the office setting.

  • Virginia

    Virginia · 46900

    Office

    $262.63

    Facility

    $128.67

    $21.92 lower than Merced for the office setting.

  • Virgin Islands

    United States Virgin Islands · 46900

    Office

    $270.59

    Facility

    $132.81

    $13.96 lower than Merced for the office setting.

  • Vermont

    Vermont · 46900

    Office

    $262.28

    Facility

    $127.36

    $22.27 lower than Merced for the office setting.

  • Rest Of Washington

    Washington · 46900

    Office

    $277.76

    Facility

    $134.26

    $6.79 lower than Merced for the office setting.

  • Seattle (King Cnty)

    Washington · 46900

    Office

    $314.95

    Facility

    $147.74

    $30.40 higher than Merced for the office setting.

  • Wisconsin

    Wisconsin · 46900

    Office

    $254.23

    Facility

    $123.68

    $30.32 lower than Merced for the office setting.

  • West Virginia

    West Virginia · 46900

    Office

    $246.38

    Facility

    $127.96

    $38.17 lower than Merced for the office setting.

  • Wyoming**

    Wyoming · 46900

    Office

    $266.29

    Facility

    $130.01

    $18.26 lower than Merced for the office setting.

See how rates vary across the country

46900 · 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.

$236.45

$321.65

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$308.561
AL$240.061
AR$236.451
AZ$261.161
CA$284.55–$358.7529
CO$280.041
CT$286.831
DC$308.081
DE$265.601
FL$264.21–$289.933
GA$248.86–$273.642
GU$291.981
HI$291.981
IA$246.501
ID$248.151
IL$256.23–$281.214
IN$249.651
KS$245.251
KY$245.861
LA$245.44–$258.062
MA$278.25–$308.502
MD$270.83–$308.083
ME$249.44–$263.562
MI$252.46–$267.582
MN$268.161
MO$241.03–$259.073
MS$238.791
MT$268.531
NC$252.161
ND$263.381
NE$247.921
NH$275.561
NJ$290.06–$304.692
NM$253.881
NV$267.291
NY$256.08–$317.335
OH$251.411
OK$245.451
OR$265.17–$289.262
PA$251.85–$279.442
PR$270.591
RI$275.311
SC$252.211
SD$262.781
TN$246.531
TX$250.13–$279.158
UT$255.791
VA$262.63–$308.082
VI$270.591
VT$262.281
WA$277.76–$314.952
WI$254.231
WV$246.381
WY$266.291

Explore 46900 on the national rate map →

Where does this rate apply?

Merced is a Medicare payment area. Our Census mapping connects it to 24 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 46900 in Merced, the physician’s office rate is $284.55 and the facility-setting rate is $135.19: a difference of $149.36.

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 46900 in Merced. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$313.01

$284.55 × 110% = $313.01

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 46900 in Merced.

PPRRVU2026_Oct_nonQPP.csv

5,630

Code
46900
Physician work
1.86
Practice expense
5.92
Malpractice
0.26

GPCI2026.csv

15

Locality
Merced
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 46900 in Merced
ComponentRVULocality factorAdjusted
Physician work1.86× 1.0171.8916
Practice expense5.92× 1.0966.4883
Malpractice0.26× 0.5360.1394
Total RVUs8.5193
Conversion factor× 33.4009

Office / nonfacility rate, Merced$284.55

Open 46900 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.861.017
Practice expense5.921.096
Malpractice0.260.536

(1.86 × 1.017 + 5.92 × 1.096 + 0.26 × 0.536) × $33.4009 = $284.55

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.861.017
Practice expense1.841.096
Malpractice0.260.536

(1.86 × 1.017 + 1.84 × 1.096 + 0.26 × 0.536) × $33.4009 = $135.19

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

46900 · Office / nonfacility

$284.55

Effective 2026-10-01

The base rate is $36.00 higher than on 2025-10-01, moving from $248.55 to $284.55 (14.5%).

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

    $248.55changed to$284.55

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.91 changed to 1.86
    • Practice expense RVU 5.12 changed to 5.92
    • Malpractice RVU 0.27 changed to 0.26
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $248.55

    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$284.55$135.19RVU26D
2026-07-01$284.55$135.19RVU26C
2026-04-01$284.55$135.19RVU26B
2026-01-01$284.55$135.19RVU26A
2025-10-01$248.55$138.95RVU25D
2025-07-01$248.55$138.95RVU25C
2025-04-01$248.55$138.95RVU25B
2025-01-01$248.55$138.95RVU25A

46900 billing questions

How do I distinguish this code from 46910?

Use 46900 for simple anal lesion destruction. Code 46910 represents the more extensive level, so document the scope and extent that support the selected level.

When would 46916 or 46917 be more appropriate?

Those codes identify cryosurgery and laser surgery, respectively. Choose the code that reflects the documented destruction method rather than reporting 46900 for those technique-specific services.

Is excision of an anal lesion reported with 46900?

No. When the lesion is cut out and removed, consider 46922; 46900 describes destruction rather than excision.

Are related postoperative visits separately reported?

Related postoperative visits during 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-site service.

Can an assistant or co-surgeon be billed?

Medicare does not pay an assistant at surgery for this service. 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 46900PPRRVU2026_Oct_nonQPP.csv, line 5,630 (RVU26D)
Geographic factors for MercedGPCI2026.csv, line 15 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet