$277.52
Use 46610 when lesion removal is performed with hot biopsy forceps or bipolar cautery. This code is for removal by excision.
On this page
CMS RVU26D · Effective 2026-10-01
46612 Anoscopy Medicare reimbursement rates in Kansas
Reports anoscopic excision of an anal canal lesion, such as a polyp or tumor, when the lesion is removed using an excisional technique. Compare 46612 office and facility rates across CMS payment localities in Kansas.
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 46612 in Kansas?
Kansas 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
$331.01
1 of 1 localities have a supported rate.
Payment area: Kansas
One mapped payment locality.
Facility setting
$81.30
1 of 1 localities have a supported rate.
Payment area: Kansas
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 46612: Anoscopy with lesion excision
Reports anoscopic excision of an anal canal lesion, such as a polyp or tumor, when the lesion is removed using an excisional technique.
The clinician uses an anoscope to view the anal canal and surgically excise a tumor, polyp, or other lesion. Colorectal and general surgeons commonly perform this procedure in an office, outpatient department, or operating room. The removed tissue may be submitted for pathologic examination. This code distinguishes excision from lesion removal using hot biopsy forceps or bipolar cautery, snare removal, or ablation.
Select the code based on the technique documented, not merely the presence or number of lesions. The procedure note should identify the lesion site and extent, describe excision as the removal method, and record the specimens obtained. The 0-day global period includes same-day preoperative and postoperative care. 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-surgery and team surgery are not permitted.
CMS billing rules for 46612
- 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 RVU1.46 · 13%
- Practice expense (office) RVU9.13 · 83%
- Malpractice RVU0.39 · 4%
89
Medicare services in 2024 · #4973 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.
46612 compared with similar codes
Office rates for Kansas, from the same CMS release.
$219.71
Use 46611 for lesion removal by snare technique; use 46612 when the documented technique is excision.
$175.19
46615 describes ablation of lesions, rather than their removal by excision.
$278.57
46606 is for anoscopic biopsy. This code describes excision of a lesion, not sampling alone.
Compare 46612 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
Kansas →
Office / nonfacility
$331.01
Facility
$81.30
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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 46612 in Kansas.
PPRRVU2026_Oct_nonQPP.csv
5,606
- Code
- 46612
- Physician work
- 1.46
- Practice expense
- 9.13
- Malpractice
- 0.39
GPCI2026.csv
54
- Locality
- Kansas
- Physician work
- 1.000
- Practice expense
- 0.904
- Malpractice
- 0.504
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.46 | × 1.000 | 1.4600 |
| Practice expense | 9.13 | × 0.904 | 8.2535 |
| Malpractice | 0.39 | × 0.504 | 0.1966 |
| Total RVUs | 9.9101 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Kansas$331.01
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.46 | 1 |
| Practice expense | 9.13 | 0.904 |
| Malpractice | 0.39 | 0.504 |
(1.46 × 1 + 9.13 × 0.904 + 0.39 × 0.504) × $33.4009 = $331.01
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.46 | 1 |
| Practice expense | 0.86 | 0.904 |
| Malpractice | 0.39 | 0.504 |
(1.46 × 1 + 0.86 × 0.904 + 0.39 × 0.504) × $33.4009 = $81.30
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.
46612 billing questions
How is this code different from snare removal?
Use this code when the lesion is removed by excision. Anoscopy with snare removal is reported with 46611.
When would hot biopsy forceps or bipolar cautery apply instead?
Code 46610 describes lesion removal using hot biopsy forceps or bipolar cautery. Choose based on the documented removal technique.
Can diagnostic anoscopy be reported separately with the excision?
The diagnostic viewing is part of the anoscopic excision service. Endoscopy-family pricing applies when related endoscopies are performed together.
Is modifier 50 appropriate for lesions on both sides?
No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this code.
What does the 0-day global period mean?
Same-day preoperative and postoperative care is included. The global period for this procedure is 0 days.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this code. Co-surgery 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.
5,60346608,,Anoscopy remove for body,A,,1.27,8.03,,0.82,,0.35,9.65,2.44,0,000,0.00,0.00,0.00,3,0,1,0,0,9,46600,33.4009,09,0,99,0.00,0.00,0.00
5,60446610,,Anoscopy remove lesion,A,,1.25,7.68,,0.80,,0.23,9.16,2.28,0,000,0.00,0.00,0.00,3,0,1,0,0,9,46600,33.4009,09,0,99,0.00,0.00,0.00
5,60546611,,Anoscopy,A,,1.27,5.76,,0.77,,0.20,7.23,2.24,0,000,0.00,0.00,0.00,3,0,1,0,0,9,46600,33.4009,09,0,99,0.00,0.00,0.00
5,60646612,,Anoscopy remove lesions,A,,1.46,9.13,,0.86,,0.39,10.98,2.71,0,000,0.00,0.00,0.00,3,0,1,0,0,9,46600,33.4009,09,0,99,0.00,0.00,0.00
5,60746614,,Anoscopy control bleeding,A,,0.98,4.35,,0.70,,0.16,5.49,1.84,0,000,0.00,0.00,0.00,3,0,1,0,0,9,46600,33.4009,09,0,99,0.00,0.00,0.00
5,60846615,,Anoscopy,A,,1.46,4.07,,0.84,,0.21,5.74,2.51,0,000,0.00,0.00,0.00,3,0,1,0,0,9,46600,33.4009,09,0,99,0.00,0.00,0.00
5,60946700,,Repair of anal stricture,A,,9.56,8.00,NA,8.00,,1.59,19.15,19.15,0,090,0.09,0.81,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958