CPT code 46608: Anoscopy2026 Medicare rate & RVUs in Florida
Reports anoscopic removal of a foreign body from the anal canal or distal rectum under direct visualization, rather than diagnostic inspection or lesion treatment.
Medicare pays $316.40–$351.19 for 46608 in the office in Florida, from Rest Of Florida to Miami. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 46608 covers
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.
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.
Where 46608 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$316.40 to $351.19
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale | $335.25 | $91.30 |
| Miami | $351.19 | $100.50 |
| Rest Of Florida | $316.40 | $86.17 |
How the 46608 rate is calculated
Each of 46608’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 46608
RVUs × geographic indexes × conversion factor
Work1.27
1.27 RVUs× 1.000 GPCI
Practice expense8.03
8.03 RVUs× 1.000 GPCI
Malpractice0.35
0.35 RVUs× 1.000 GPCI
Adjusted RVUs
9.6500
Conversion factor
$33.4009
Medicare rate
$322.32
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 46608
The CMS indicators that decide how 46608 is paid alongside other services.
CMS payment indicators · 46608
Anoscopy
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 3 | Endoscopy family rules apply. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
46608 without 51 · national office
$322.32
Anoscopy
46608-51 · Second procedure: 50%
$161.16
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
46608 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 46600Diagnostic anoscopy
- Choose 46600 for diagnostic anoscopy without foreign-body removal. Report 46608 when the anoscopic service includes removing foreign material.
- 46606Anoscopy biopsy
- 46606 describes anoscopy with tissue biopsy. It is not the code for retrieval of a foreign body.
- 46610Anoscopy
- 46610 is for anoscopic removal of a tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery; 46608 addresses foreign-body removal.
- 46612Anoscopy
- 46612 describes anoscopic lesion removal by snare. Use 46608 for removal of a foreign body, not a lesion.
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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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