$275.69
46030 describes removal of an anal seton. This code is for removal of suture material from the anus, not seton removal.
On this page
CMS RVU26D · Effective 2026-10-01
46754 Suture removal Medicare reimbursement rates in Arizona
Removal of suture material from anal tissue, reported for focused anorectal removal rather than routine removal of superficial wound sutures. Compare 46754 office and facility rates across CMS payment localities in Arizona.
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.
What does Medicare pay for 46754 in Arizona?
Arizona has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$371.06
1 of 1 localities have a supported rate.
Payment area: Arizona
One mapped payment locality.
Facility setting
$233.83
1 of 1 localities have a supported rate.
Payment area: Arizona
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Colorectal surgery
About 46754: Anal suture removal
Removal of suture material from anal tissue, reported for focused anorectal removal rather than routine removal of superficial wound sutures.
This service removes suture material located in or at the anus, such as material remaining after an anorectal procedure. It is typically performed by a colorectal surgeon or another surgeon with anorectal expertise in a procedural or operative setting. The record should make clear that the work is removal of suture material, not repair of the anal sphincter, a fistula, or another anorectal structure.
Select the code when the documented target is suture material from the anus. Record the anatomic site, the material removed, and the work performed so the service can be distinguished from routine wound-suture removal or a repair. Related postoperative visits during the 10-day global period are included. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 46754
- 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
- 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 RVU2.93 · 26%
- Practice expense (office) RVU8.07 · 71%
- Malpractice RVU0.42 · 4%
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.
46754 compared with similar codes
Office rates for Arizona, from the same CMS release.
$12.91
15853 is for routine suture or staple removal without anesthesia. This code is specific to suture material removed from the anus.
$17.12
15854 is for routine suture or staple removal requiring anesthesia. Use this code when the documented service is specifically removal of suture material from the anus.
No office rate
46750 describes anal sphincter repair. This code describes suture removal and should not be selected when the operative work repairs the sphincter.
Compare 46754 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Arizona →
Office / nonfacility
$371.06
Facility
$233.83
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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 46754 in Arizona.
PPRRVU2026_Oct_nonQPP.csv
5,627
- Code
- 46754
- Physician work
- 2.93
- Practice expense
- 8.07
- Malpractice
- 0.42
GPCI2026.csv
6
- Locality
- Arizona
- Physician work
- 1.000
- Practice expense
- 0.969
- Malpractice
- 0.856
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.93 | × 1.000 | 2.9300 |
| Practice expense | 8.07 | × 0.969 | 7.8198 |
| Malpractice | 0.42 | × 0.856 | 0.3595 |
| Total RVUs | 11.1093 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Arizona$371.06
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.93 | 1 |
| Practice expense | 8.07 | 0.969 |
| Malpractice | 0.42 | 0.856 |
(2.93 × 1 + 8.07 × 0.969 + 0.42 × 0.856) × $33.4009 = $371.06
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.93 | 1 |
| Practice expense | 3.83 | 0.969 |
| Malpractice | 0.42 | 0.856 |
(2.93 × 1 + 3.83 × 0.969 + 0.42 × 0.856) × $33.4009 = $233.83
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.
46754 billing questions
How is this different from routine wound-suture removal?
This code is for suture removal specifically from the anus. Codes 15853 and 15854 address routine suture or staple removal, depending on whether anesthesia is required.
Should I report this for removal of an anal seton?
No. For removal of an anal seton, consider 46030; this code describes removal of suture material from the anus.
Are related postoperative visits separately payable during the global period?
Related postoperative visits during the 10-day global period are included in this procedure's payment.
Can I append modifier 50?
No. Modifier 50 is inappropriate for this service.
When is assistant-at-surgery payment allowed?
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?
The highest-valued procedure is paid in full, and other procedures performed in the same session are subject to the standard multiple procedure reduction.
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.
5,62446750,,Repair of anal sphincter,A,,11.85,6.66,NA,6.66,,2.06,20.57,20.57,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,62546751,,Repair of anal sphincter,A,,9.07,8.39,NA,8.39,,2.42,19.88,19.88,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,62646753,,Reconstruction of anus,A,,8.67,7.40,NA,7.40,,2.33,18.40,18.40,0,090,0.09,0.81,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,62746754,,Removal of suture from anus,A,,2.93,8.07,,3.83,,0.42,11.42,7.18,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,62846760,,Repair of anal sphincter,A,,17.01,11.93,NA,11.93,,2.46,31.40,31.40,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,62946761,,Repair of anal sphincter,A,,14.91,7.36,NA,7.36,,2.58,24.85,24.85,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,63046900,,Destruction anal lesion(s),A,,1.86,5.92,,1.84,,0.26,8.04,3.96,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536