$245.86
Choose 46900 for simple destruction and 46924 for extensive destruction. The documented scope of treatment, not lesion count alone, supports the distinction.
On this page
CMS RVU26D · Effective 2026-10-01
46924 Anal lesion destruction Medicare reimbursement rates in Kentucky
Reports extensive destruction of anal lesions, such as condylomata, when the treatment involves a broader lesion burden than simple destruction. Compare 46924 office and facility rates across CMS payment localities in Kentucky.
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 46924 in Kentucky?
Kentucky 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
$563.13
1 of 1 localities have a supported rate.
Payment area: Kentucky
One mapped payment locality.
Facility setting
$163.45
1 of 1 localities have a supported rate.
Payment area: Kentucky
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 46924: Extensive anal lesion destruction
Reports extensive destruction of anal lesions, such as condylomata, when the treatment involves a broader lesion burden than simple destruction.
This code describes extensive destruction of lesions on the anus, including lesions such as condylomata, papillomas, or molluscum contagiosum. A colorectal or general surgeon may perform the treatment in an office procedure room or an outpatient setting. The lesions are destroyed rather than removed as tissue specimens; the code is selected for extensive treatment, not simply because more than one lesion is present.
Document the lesion sites and extent, the destructive method, and why the treatment is extensive rather than simple. Related postoperative visits during the 10-day global period are included. When multiple procedures are performed in the same session, Medicare pays the highest-valued procedure in full and applies the standard reduction to the others. Modifier 50 is inappropriate for this code. Medicare does not pay for an assistant at surgery, and co-surgeon and team-surgery billing are not permitted.
CMS billing rules for 46924
- 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 RVU2.74 · 15%
- Practice expense (office) RVU15.44 · 83%
- Malpractice RVU0.43 · 2%
1.8K
Medicare services in 2024 · #2539 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.
46924 compared with similar codes
Office rates for Kentucky, from the same CMS release.
$419.89
46917 identifies laser surgery for anal lesions. Select 46924 when the documented service is extensive destruction and the laser-specific code does not describe the procedure.
$313.35
46922 is for excising anal lesions; 46924 is for destroying them without excision.
Compare 46924 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
Kentucky →
Office / nonfacility
$563.13
Facility
$163.45
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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 46924 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
5,635
- Code
- 46924
- Physician work
- 2.74
- Practice expense
- 15.44
- Malpractice
- 0.43
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.74 | × 1.000 | 2.7400 |
| Practice expense | 15.44 | × 0.889 | 13.7262 |
| Malpractice | 0.43 | × 0.915 | 0.3935 |
| Total RVUs | 16.8596 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Kentucky$563.13
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.74 | 1 |
| Practice expense | 15.44 | 0.889 |
| Malpractice | 0.43 | 0.915 |
(2.74 × 1 + 15.44 × 0.889 + 0.43 × 0.915) × $33.4009 = $563.13
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.74 | 1 |
| Practice expense | 1.98 | 0.889 |
| Malpractice | 0.43 | 0.915 |
(2.74 × 1 + 1.98 × 0.889 + 0.43 × 0.915) × $33.4009 = $163.45
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.
46924 billing questions
How is 46924 distinguished from 46900?
46924 is for extensive destruction; 46900 is for simple destruction. Document the extent of treatment and the method used rather than relying only on the number of lesions.
Is 46924 used for excision of anal lesions?
No. It represents destruction of lesions. Use 46922 when lesions are excised and removed as tissue.
Are postoperative visits separately reported?
Related postoperative visits during the 10-day global period are included in 46924.
Can modifier 50 be reported?
No. Bilateral adjustment is inappropriate for this code and modifier 50 should not be used.
How does Medicare handle other procedures performed in the same session?
The highest-valued procedure is paid in full, and other procedures subject to the multiple-procedure rule are reduced under the standard Medicare adjustment. Medicare does not pay for an assistant at surgery; 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.
5,63246916,,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
5,63846942,,Treatment of anal fissure,A,,2.02,6.01,,1.39,,0.29,8.32,3.70,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
5814112,ME,03,SOUTHERN MAINE,1.000,0.991,0.631