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CMS RVU26D · Effective 2026-10-01

46608 in Modesto

Office / nonfacility

$343.36

Base rate per service

Facility setting

$79.42

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 endoscopy

About 46608: Anoscopic foreign body removal

Reports anoscopic removal of a foreign body from the anal canal or distal rectum under direct visualization, rather than diagnostic inspection or lesion treatment.

A clinician advances an anoscope to inspect the anal canal and distal rectum, then removes a foreign body while viewing the site through the instrument. The service may be performed by a colorectal or general surgeon, or another qualified clinician who performs anorectal procedures, in an office or facility setting. The procedure is directed at retrieving foreign material, not sampling tissue or excising a tumor, polyp, or other lesion.

Report 46608 when the documented work includes anoscopic removal of a foreign body. The record should identify the foreign body, its location, the anoscopic visualization and removal performed, and the outcome. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, endoscopy family pricing applies. Modifier 50 is inappropriate for this service. Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.

CMS billing rules for 46608

Global period
Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
Multiple procedures
Endoscopy family pricing applies when related endoscopies are performed together.
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 RVU1.27 · 13%
  • Practice expense (office) RVU8.03 · 83%
  • Malpractice RVU0.35 · 4%

34

Medicare services in 2024 · #5585 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.

46608 compared with similar codes

Office rates for Modesto, from the same CMS release.

46600

Diagnostic anoscopy

Standard visualization, optional washing

$138.38

Choose 46600 for diagnostic anoscopy without foreign-body removal. Report 46608 when the anoscopic service includes removing foreign material.

46606

Anoscopy biopsy

Biopsy performed

$329.59

46606 describes anoscopy with tissue biopsy. It is not the code for retrieval of a foreign body.

46610

Anoscopy

Hot forceps or bipolar cautery

$327.72

46610 is for anoscopic removal of a tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery; 46608 addresses foreign-body removal.

46612

Anoscopy

Lesion removal by excision

$390.80

46612 describes anoscopic lesion removal by snare. Use 46608 for removal of a foreign body, not a lesion.

The same code, a different location

How does Modesto compare?

In Bakersfield, the office rate for 46608 is $344.30—$0.94 higher than the $343.36 rate in Modesto. Both use the same code, release and participation basis.

46608 across payment areas

Same release and payment basis · bars start at $0

  1. Modesto · This locality

    $343.36

  2. Bakersfield

    $344.30

    $0.94 higher than Modesto

  3. Chico

    $343.36

    The same base rate than Modesto

  4. El Centro

    $343.42

    $0.06 higher than Modesto

  5. Fresno

    $343.36

    The same base rate than Modesto

  6. Hanford-Corcoran

    $343.36

    The same base rate than Modesto

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

    $369.21

    $25.85 higher than Modesto

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, 46608 ranges from $278.83 in Arkansas to $440.11 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 · 46608

    Office

    $343.36

    Facility

    $79.42

    The same base rate than Modesto for the office setting.

  • Merced

    California · 46608

    Office

    $343.36

    Facility

    $79.42

    The same base rate than Modesto for the office setting.

  • Napa

    California · 46608

    Office

    $404.53

    Facility

    $87.13

    $61.17 higher than Modesto for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 46608

    Office

    $367.91

    Facility

    $83.26

    $24.55 higher than Modesto for the office setting.

  • Redding

    California · 46608

    Office

    $343.36

    Facility

    $79.42

    The same base rate than Modesto for the office setting.

  • Rest Of California

    California · 46608

    Office

    $343.36

    Facility

    $79.42

    The same base rate than Modesto for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 46608

    Office

    $347.11

    Facility

    $83.17

    $3.75 higher than Modesto for the office setting.

  • Sacramento-Roseville-Folsom

    California · 46608

    Office

    $362.14

    Facility

    $82.07

    $18.78 higher than Modesto for the office setting.

  • Salinas

    California · 46608

    Office

    $360.85

    Facility

    $81.74

    $17.49 higher than Modesto for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 46608

    Office

    $370.81

    Facility

    $82.78

    $27.45 higher than Modesto for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 46608

    Office

    $429.99

    Facility

    $90.43

    $86.63 higher than Modesto for the office setting.

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

    California · 46608

    Office

    $429.59

    Facility

    $90.04

    $86.23 higher than Modesto for the office setting.

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

    California · 46608

    Office

    $440.11

    Facility

    $92.85

    $96.75 higher than Modesto for the office setting.

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

    California · 46608

    Office

    $438.48

    Facility

    $91.22

    $95.12 higher than Modesto for the office setting.

  • San Luis Obispo-Paso Robles

    California · 46608

    Office

    $354.90

    Facility

    $80.60

    $11.54 higher than Modesto for the office setting.

  • Santa Cruz-Watsonville

    California · 46608

    Office

    $375.45

    Facility

    $82.85

    $32.09 higher than Modesto for the office setting.

  • Santa Maria-Santa Barbara

    California · 46608

    Office

    $362.60

    Facility

    $81.81

    $19.24 higher than Modesto for the office setting.

  • Santa Rosa-Petaluma

    California · 46608

    Office

    $379.32

    Facility

    $83.59

    $35.96 higher than Modesto for the office setting.

  • Stockton

    California · 46608

    Office

    $343.36

    Facility

    $79.42

    The same base rate than Modesto for the office setting.

  • Vallejo

    California · 46608

    Office

    $403.96

    Facility

    $86.56

    $60.60 higher than Modesto for the office setting.

  • Visalia

    California · 46608

    Office

    $343.36

    Facility

    $79.42

    The same base rate than Modesto for the office setting.

  • Yuba City

    California · 46608

    Office

    $343.36

    Facility

    $79.42

    The same base rate than Modesto for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 46608

    Office

    $373.67

    Facility

    $89.99

    $30.31 higher than Modesto for the office setting.

  • Miami

    Florida · 46608

    Office

    $351.19

    Facility

    $100.50

    $7.83 higher than Modesto for the office setting.

  • Chicago

    Illinois · 46608

    Office

    $339.10

    Facility

    $97.07

    $4.26 lower than Modesto for the office setting.

  • Manhattan

    New York · 46608

    Office

    $375.33

    Facility

    $95.50

    $31.97 higher than Modesto for the office setting.

  • Alaska*

    Alaska · 46608

    Office

    $355.71

    Facility

    $99.24

    $12.35 higher than Modesto for the office setting.

  • Alabama

    Alabama · 46608

    Office

    $283.72

    Facility

    $73.00

    $59.64 lower than Modesto for the office setting.

  • Arkansas

    Arkansas · 46608

    Office

    $278.83

    Facility

    $71.97

    $64.53 lower than Modesto for the office setting.

  • Arizona

    Arizona · 46608

    Office

    $312.32

    Facility

    $78.97

    $31.04 lower than Modesto for the office setting.

  • Colorado

    Colorado · 46608

    Office

    $337.43

    Facility

    $81.20

    $5.93 lower than Modesto for the office setting.

  • Connecticut

    Connecticut · 46608

    Office

    $346.27

    Facility

    $86.91

    $2.91 higher than Modesto for the office setting.

  • Delaware

    Delaware · 46608

    Office

    $318.13

    Facility

    $80.20

    $25.23 lower than Modesto for the office setting.

  • Fort Lauderdale

    Florida · 46608

    Office

    $335.25

    Facility

    $91.30

    $8.11 lower than Modesto for the office setting.

  • Rest Of Florida

    Florida · 46608

    Office

    $316.40

    Facility

    $86.17

    $26.96 lower than Modesto for the office setting.

  • Atlanta

    Georgia · 46608

    Office

    $329.09

    Facility

    $84.41

    $14.27 lower than Modesto for the office setting.

  • Rest Of Georgia

    Georgia · 46608

    Office

    $295.60

    Facility

    $80.78

    $47.76 lower than Modesto for the office setting.

  • Hawaii, Guam

    Hawaii · 46608

    Office

    $354.14

    Facility

    $80.33

    $10.78 higher than Modesto for the office setting.

  • Iowa

    Iowa · 46608

    Office

    $292.47

    Facility

    $72.12

    $50.89 lower than Modesto for the office setting.

  • Idaho

    Idaho · 46608

    Office

    $294.70

    Facility

    $73.15

    $48.66 lower than Modesto for the office setting.

  • East St. Louis

    Illinois · 46608

    Office

    $312.72

    Facility

    $91.16

    $30.64 lower than Modesto for the office setting.

  • Rest Of Illinois

    Illinois · 46608

    Office

    $305.57

    Facility

    $85.70

    $37.79 lower than Modesto for the office setting.

  • Suburban Chicago

    Illinois · 46608

    Office

    $338.88

    Facility

    $91.56

    $4.48 lower than Modesto for the office setting.

  • Indiana

    Indiana · 46608

    Office

    $296.73

    Facility

    $73.49

    $46.63 lower than Modesto for the office setting.

  • Kansas

    Kansas · 46608

    Office

    $290.77

    Facility

    $73.07

    $52.59 lower than Modesto for the office setting.

  • Kentucky

    Kentucky · 46608

    Office

    $291.55

    Facility

    $77.46

    $51.81 lower than Modesto for the office setting.

  • New Orleans

    Louisiana · 46608

    Office

    $308.08

    Facility

    $81.47

    $35.28 lower than Modesto for the office setting.

  • Rest Of Louisiana

    Louisiana · 46608

    Office

    $290.98

    Facility

    $77.86

    $52.38 lower than Modesto for the office setting.

  • Metropolitan Boston

    Massachusetts · 46608

    Office

    $374.80

    Facility

    $87.26

    $31.44 higher than Modesto for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 46608

    Office

    $334.84

    Facility

    $81.26

    $8.52 lower than Modesto for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 46608

    Office

    $345.35

    Facility

    $86.95

    $1.99 higher than Modesto for the office setting.

  • Rest Of Maryland

    Maryland · 46608

    Office

    $325.00

    Facility

    $81.29

    $18.36 lower than Modesto for the office setting.

  • Rest Of Maine

    Maine · 46608

    Office

    $296.44

    Facility

    $74.89

    $46.92 lower than Modesto for the office setting.

  • Southern Maine

    Maine · 46608

    Office

    $315.59

    Facility

    $76.94

    $27.77 lower than Modesto for the office setting.

  • Detroit

    Michigan · 46608

    Office

    $320.95

    Facility

    $88.56

    $22.41 lower than Modesto for the office setting.

  • Rest Of Michigan

    Michigan · 46608

    Office

    $300.49

    Facility

    $80.62

    $42.87 lower than Modesto for the office setting.

  • Minnesota

    Minnesota · 46608

    Office

    $321.87

    Facility

    $74.06

    $21.49 lower than Modesto for the office setting.

  • Metropolitan Kansas City

    Missouri · 46608

    Office

    $305.69

    Facility

    $79.56

    $37.67 lower than Modesto for the office setting.

  • Metropolitan St. Louis

    Missouri · 46608

    Office

    $309.47

    Facility

    $80.21

    $33.89 lower than Modesto for the office setting.

  • Rest Of Missouri

    Missouri · 46608

    Office

    $285.00

    Facility

    $77.41

    $58.36 lower than Modesto for the office setting.

  • Mississippi

    Mississippi · 46608

    Office

    $281.99

    Facility

    $74.64

    $61.37 lower than Modesto for the office setting.

  • Montana**

    Montana · 46608

    Office

    $322.30

    Facility

    $81.47

    $21.06 lower than Modesto for the office setting.

  • North Carolina

    North Carolina · 46608

    Office

    $300.13

    Facility

    $75.44

    $43.23 lower than Modesto for the office setting.

  • North Dakota**

    North Dakota · 46608

    Office

    $315.37

    Facility

    $74.55

    $27.99 lower than Modesto for the office setting.

  • Nebraska

    Nebraska · 46608

    Office

    $294.40

    Facility

    $72.12

    $48.96 lower than Modesto for the office setting.

  • New Hampshire

    New Hampshire · 46608

    Office

    $331.85

    Facility

    $81.16

    $11.51 lower than Modesto for the office setting.

  • Northern Nj

    New Jersey · 46608

    Office

    $368.70

    Facility

    $89.35

    $25.34 higher than Modesto for the office setting.

  • Rest Of New Jersey

    New Jersey · 46608

    Office

    $349.82

    Facility

    $86.85

    $6.46 higher than Modesto for the office setting.

  • New Mexico

    New Mexico · 46608

    Office

    $302.41

    Facility

    $81.57

    $40.95 lower than Modesto for the office setting.

  • Nevada**

    Nevada · 46608

    Office

    $320.63

    Facility

    $79.57

    $22.73 lower than Modesto for the office setting.

  • Nyc Suburbs/Long Island

    New York · 46608

    Office

    $385.74

    Facility

    $99.41

    $42.38 higher than Modesto for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 46608

    Office

    $352.16

    Facility

    $88.46

    $8.80 higher than Modesto for the office setting.

  • Queens

    New York · 46608

    Office

    $379.01

    Facility

    $94.36

    $35.65 higher than Modesto for the office setting.

  • Rest Of New York

    New York · 46608

    Office

    $305.44

    Facility

    $76.66

    $37.92 lower than Modesto for the office setting.

  • Ohio

    Ohio · 46608

    Office

    $299.08

    Facility

    $79.21

    $44.28 lower than Modesto for the office setting.

  • Oklahoma

    Oklahoma · 46608

    Office

    $291.01

    Facility

    $75.96

    $52.35 lower than Modesto for the office setting.

  • Portland

    Oregon · 46608

    Office

    $349.78

    Facility

    $82.22

    $6.42 higher than Modesto for the office setting.

  • Rest Of Oregon

    Oregon · 46608

    Office

    $317.77

    Facility

    $77.92

    $25.59 lower than Modesto for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 46608

    Office

    $336.34

    Facility

    $85.64

    $7.02 lower than Modesto for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 46608

    Office

    $299.68

    Facility

    $78.61

    $43.68 lower than Modesto for the office setting.

  • Puerto Rico

    Puerto Rico · 46608

    Office

    $325.09

    Facility

    $81.62

    $18.27 lower than Modesto for the office setting.

  • Rhode Island

    Rhode Island · 46608

    Office

    $330.71

    Facility

    $81.95

    $12.65 lower than Modesto for the office setting.

  • South Carolina

    South Carolina · 46608

    Office

    $300.18

    Facility

    $77.66

    $43.18 lower than Modesto for the office setting.

  • South Dakota**

    South Dakota · 46608

    Office

    $314.56

    Facility

    $73.74

    $28.80 lower than Modesto for the office setting.

  • Tennessee

    Tennessee · 46608

    Office

    $292.50

    Facility

    $73.59

    $50.86 lower than Modesto for the office setting.

  • Austin

    Texas · 46608

    Office

    $336.63

    Facility

    $81.84

    $6.73 lower than Modesto for the office setting.

  • Beaumont

    Texas · 46608

    Office

    $297.35

    Facility

    $78.20

    $46.01 lower than Modesto for the office setting.

  • Brazoria

    Texas · 46608

    Office

    $317.67

    Facility

    $79.02

    $25.69 lower than Modesto for the office setting.

  • Dallas

    Texas · 46608

    Office

    $319.97

    Facility

    $80.11

    $23.39 lower than Modesto for the office setting.

  • Fort Worth

    Texas · 46608

    Office

    $317.44

    Facility

    $79.99

    $25.92 lower than Modesto for the office setting.

  • Galveston

    Texas · 46608

    Office

    $318.77

    Facility

    $79.64

    $24.59 lower than Modesto for the office setting.

  • Houston

    Texas · 46608

    Office

    $325.18

    Facility

    $86.04

    $18.18 lower than Modesto for the office setting.

  • Rest Of Texas

    Texas · 46608

    Office

    $307.51

    Facility

    $78.97

    $35.85 lower than Modesto for the office setting.

  • Utah

    Utah · 46608

    Office

    $305.03

    Facility

    $78.66

    $38.33 lower than Modesto for the office setting.

  • Virginia

    Virginia · 46608

    Office

    $314.32

    Facility

    $77.60

    $29.04 lower than Modesto for the office setting.

  • Virgin Islands

    United States Virgin Islands · 46608

    Office

    $325.09

    Facility

    $81.62

    $18.27 lower than Modesto for the office setting.

  • Vermont

    Vermont · 46608

    Office

    $313.86

    Facility

    $75.45

    $29.50 lower than Modesto for the office setting.

  • Rest Of Washington

    Washington · 46608

    Office

    $334.29

    Facility

    $80.71

    $9.07 lower than Modesto for the office setting.

  • Seattle (King Cnty)

    Washington · 46608

    Office

    $383.18

    Facility

    $87.70

    $39.82 higher than Modesto for the office setting.

  • Wisconsin

    Wisconsin · 46608

    Office

    $302.96

    Facility

    $72.26

    $40.40 lower than Modesto for the office setting.

  • West Virginia

    West Virginia · 46608

    Office

    $292.22

    Facility

    $82.95

    $51.14 lower than Modesto for the office setting.

  • Wyoming**

    Wyoming · 46608

    Office

    $319.28

    Facility

    $78.46

    $24.08 lower than Modesto for the office setting.

See how rates vary across the country

46608 · 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.

$278.83

$391.74

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$355.711
AL$283.721
AR$278.831
AZ$312.321
CA$343.36–$440.1129
CO$337.431
CT$346.271
DC$373.671
DE$318.131
FL$316.40–$351.193
GA$295.60–$329.092
GU$354.141
HI$354.141
IA$292.471
ID$294.701
IL$305.57–$339.104
IN$296.731
KS$290.771
KY$291.551
LA$290.98–$308.082
MA$334.84–$374.802
MD$325.00–$373.673
ME$296.44–$315.592
MI$300.49–$320.952
MN$321.871
MO$285.00–$309.473
MS$281.991
MT$322.301
NC$300.131
ND$315.371
NE$294.401
NH$331.851
NJ$349.82–$368.702
NM$302.411
NV$320.631
NY$305.44–$385.745
OH$299.081
OK$291.011
OR$317.77–$349.782
PA$299.68–$336.342
PR$325.091
RI$330.711
SC$300.181
SD$314.561
TN$292.501
TX$297.35–$336.638
UT$305.031
VA$314.32–$373.672
VI$325.091
VT$313.861
WA$334.29–$383.182
WI$302.961
WV$292.221
WY$319.281

Explore 46608 on the national rate map →

Where does this rate apply?

Modesto is a Medicare payment area. Our Census mapping connects it to 33 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 46608 in Modesto, the physician’s office rate is $343.36 and the facility-setting rate is $79.42: a difference of $263.94.

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 46608 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$377.70

$343.36 × 110% = $377.70

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.

Compare your contract offer →

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 46608 in Modesto.

PPRRVU2026_Oct_nonQPP.csv

5,603

Code
46608
Physician work
1.27
Practice expense
8.03
Malpractice
0.35

GPCI2026.csv

16

Locality
Modesto
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 46608 in Modesto
ComponentRVULocality factorAdjusted
Physician work1.27× 1.0171.2916
Practice expense8.03× 1.0968.8009
Malpractice0.35× 0.5360.1876
Total RVUs10.2801
Conversion factor× 33.4009

Office / nonfacility rate, Modesto$343.36

Open 46608 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.271.017
Practice expense8.031.096
Malpractice0.350.536

(1.27 × 1.017 + 8.03 × 1.096 + 0.35 × 0.536) × $33.4009 = $343.36

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.271.017
Practice expense0.821.096
Malpractice0.350.536

(1.27 × 1.017 + 0.82 × 1.096 + 0.35 × 0.536) × $33.4009 = $79.42

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

46608 · Office / nonfacility

$343.36

Effective 2026-10-01

The base rate is $52.03 higher than on 2025-10-01, moving from $291.33 to $343.36 (17.9%).

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

    $291.33changed to$343.36

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.30 changed to 1.27
    • Practice expense RVU 6.86 changed to 8.03
    • Malpractice RVU 0.34 changed to 0.35
    • 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: $291.33

    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$343.36$79.42RVU26D
2026-07-01$343.36$79.42RVU26C
2026-04-01$343.36$79.42RVU26B
2026-01-01$343.36$79.42RVU26A
2025-10-01$291.33$81.32RVU25D
2025-07-01$291.33$81.32RVU25C
2025-04-01$291.33$81.32RVU25B
2025-01-01$291.33$81.32RVU25A

46608 billing questions

How is 46608 different from diagnostic anoscopy?

46608 includes removal of a foreign body under anoscopic visualization. Use a diagnostic anoscopy code when the service is inspection without foreign-body removal.

Can 46608 be reported for removal of a polyp or other lesion?

No. This code is for foreign-body removal; lesion removal is represented by other anoscopy codes, with the applicable code depending on the removal method.

Can a diagnostic anoscopy be billed with 46608?

When related endoscopies are performed together, CMS endoscopy family pricing applies. The documentation should show the distinct services performed; do not assume separate payment for diagnostic inspection.

Should modifier 50 be appended?

No. Modifier 50 is inappropriate for this service because the descriptor or anatomy does not support bilateral reporting.

Can an assistant or co-surgeon be reported?

Medicare does not pay an assistant at surgery for 46608. 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 46608PPRRVU2026_Oct_nonQPP.csv, line 5,603 (RVU26D)
Geographic factors for ModestoGPCI2026.csv, line 16 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet