$275.06
46900 is for simple anal lesion destruction; 46910 is the more extensive level. The documented scope of treatment supports the distinction.
On this page
CMS RVU26D · Effective 2026-10-01
46900 Anal lesion destruction Medicare reimbursement rates in Indiana
Reports destruction of simple anal lesions, such as condyloma, when the service treats limited lesions rather than extensive disease or removes tissue by excision. Compare 46900 office and facility rates across CMS payment localities in Indiana.
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 46900 in Indiana?
Indiana 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
$249.65
1 of 1 localities have a supported rate.
Payment area: Indiana
One mapped payment locality.
Facility setting
$123.32
1 of 1 localities have a supported rate.
Payment area: Indiana
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 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 Indiana, from the same CMS release.
$237.21
46916 identifies cryosurgery for anal lesions. Use 46900 when the service is simple destruction not represented by that technique-specific code.
$430.64
46917 identifies laser surgery for anal lesions. Use 46900 for simple destruction performed by another method.
$318.46
46922 is for excision, in which lesion tissue is removed. Use 46900 when the lesion is destroyed rather than excised.
Compare 46900 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
Indiana →
Office / nonfacility
$249.65
Facility
$123.32
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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 Indiana.
PPRRVU2026_Oct_nonQPP.csv
5,630
- Code
- 46900
- Physician work
- 1.86
- Practice expense
- 5.92
- Malpractice
- 0.26
GPCI2026.csv
52
- Locality
- Indiana
- Physician work
- 1.000
- Practice expense
- 0.927
- Malpractice
- 0.486
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.86 | × 1.000 | 1.8600 |
| Practice expense | 5.92 | × 0.927 | 5.4878 |
| Malpractice | 0.26 | × 0.486 | 0.1264 |
| Total RVUs | 7.4742 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Indiana$249.65
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.86 | 1 |
| Practice expense | 5.92 | 0.927 |
| Malpractice | 0.26 | 0.486 |
(1.86 × 1 + 5.92 × 0.927 + 0.26 × 0.486) × $33.4009 = $249.65
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.86 | 1 |
| Practice expense | 1.84 | 0.927 |
| Malpractice | 0.26 | 0.486 |
(1.86 × 1 + 1.84 × 0.927 + 0.26 × 0.486) × $33.4009 = $123.32
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.
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.
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
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
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915