$280.04
Choose 46922 when the lesion is surgically excised. Code 46900 describes simple destruction, not removal by excision.
On this page
CMS RVU26D · Effective 2026-10-01
46922 Anal lesion excision Medicare reimbursement rates in Colorado
Surgical removal of one or more anal lesions, reported when the clinician excises tissue rather than destroying the lesion with an ablative method. Compare 46922 office and facility rates across CMS payment localities in Colorado.
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 46922 in Colorado?
Colorado 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
$359.77
1 of 1 localities have a supported rate.
Payment area: Colorado
One mapped payment locality.
Facility setting
$136.23
1 of 1 localities have a supported rate.
Payment area: Colorado
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.
Anorectal surgery
About 46922: Excision of anal lesion or lesions
Surgical removal of one or more anal lesions, reported when the clinician excises tissue rather than destroying the lesion with an ablative method.
Code 46922 represents surgical excision of one or more lesions of the anus. A colorectal surgeon, general surgeon, or other qualified physician may remove the lesion with cutting instruments in an office procedure room or operating room; anesthesia and setting depend on the clinical circumstances. A specimen may be sent for histopathologic examination, which is a separate service from the excision.
Report the excision service, not a separate unit for each lesion removed. Document the anal site, lesion findings, excisional technique, and number treated. CMS assigns a 10-day minor-procedure global period, so related postoperative visits during that period are included. When other procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction. Modifier 50 is inappropriate for this service. Medicare does not pay an assistant at surgery, and co-surgeons and team surgery are not permitted.
CMS billing rules for 46922
- 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 · 18%
- Practice expense (office) RVU8.09 · 78%
- Malpractice RVU0.36 · 3%
2.8K
Medicare services in 2024 · #2215 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.
46922 compared with similar codes
Office rates for Colorado, from the same CMS release.
$309.52
Choose 46922 for excision. Code 46910 is for extensive destruction of anal lesions.
$265.33
Code 46916 identifies cryosurgery for anal lesions; 46922 applies when the clinician excises the lesion.
$488.01
Code 46917 is for laser treatment of anal lesions. Report 46922 when the treatment is surgical excision instead.
Compare 46922 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
Colorado →
Office / nonfacility
$359.77
Facility
$136.23
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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 46922 in Colorado.
PPRRVU2026_Oct_nonQPP.csv
5,634
- Code
- 46922
- Physician work
- 1.86
- Practice expense
- 8.09
- Malpractice
- 0.36
GPCI2026.csv
37
- Locality
- Colorado
- Physician work
- 1.012
- Practice expense
- 1.064
- Malpractice
- 0.781
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.86 | × 1.012 | 1.8823 |
| Practice expense | 8.09 | × 1.064 | 8.6078 |
| Malpractice | 0.36 | × 0.781 | 0.2812 |
| Total RVUs | 10.7712 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Colorado$359.77
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.86 | 1.012 |
| Practice expense | 8.09 | 1.064 |
| Malpractice | 0.36 | 0.781 |
(1.86 × 1.012 + 8.09 × 1.064 + 0.36 × 0.781) × $33.4009 = $359.77
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.86 | 1.012 |
| Practice expense | 1.8 | 1.064 |
| Malpractice | 0.36 | 0.781 |
(1.86 × 1.012 + 1.8 × 1.064 + 0.36 × 0.781) × $33.4009 = $136.23
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.
46922 billing questions
How is 46922 different from anal lesion destruction codes?
46922 is for surgical excision of the lesion. Destruction codes apply when the lesion is treated by an ablative method rather than cut out.
Should 46922 be reported once for each lesion?
The code covers excision of one or more anal lesions; do not assign a separate unit for each lesion. Document how many lesions were treated.
Are related postoperative visits separately payable during the global period?
Related postoperative visits within 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 procedure.
Can an assistant or co-surgeon be reported for 46922?
Medicare does not pay an assistant at surgery for this service. Co-surgeons and team surgery are not permitted.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full; other procedures in that session are subject to the standard 50% 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.
5,63146910,,Destruction anal lesion(s),A,,1.86,6.72,,1.73,,0.30,8.88,3.89,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,63246916,,Cryosurgery anal lesion(s),A,,1.86,5.55,,1.60,,0.20,7.61,3.66,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,63346917,,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
3401112,CA,69,VISALIA,1.017,1.096,0.536
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899