$119.86–$126.97
46600 is for diagnostic anoscopy, with or without specimen collection by brushing or washing. Select 46611 when the clinician removes a lesion using a snare.
On this page
CMS RVU26D · Effective 2026-10-01
46611 Anoscopy Medicare reimbursement rates in Michigan
Anoscopy with snare excision removes a tumor, polyp, or other lesion from the anal canal when the clinician uses snare technique. Compare 46611 office and facility rates across CMS payment localities in Michigan.
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 46611 in Michigan?
Michigan has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$225.61–$239.34
2 of 2 localities have a supported rate.
Facility setting
$73.44–$78.50
2 of 2 localities have a supported rate.
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 procedure
About 46611: Anoscopic snare removal of lesion
Anoscopy with snare excision removes a tumor, polyp, or other lesion from the anal canal when the clinician uses snare technique.
The clinician examines the anal canal with an anoscope and removes a tumor, polyp, or other lesion using a snare. Colorectal surgeons and gastroenterologists commonly perform this focused anorectal procedure in an office procedure room or facility setting. It is distinct from diagnostic-only anoscopy and from removal by other techniques.
Document the lesion treated and the snare technique used. Do not separately report diagnostic anoscopy as though it were a separate service when it is part of the removal. 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 anatomy and service. Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.
CMS billing rules for 46611
- 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 RVU1.27 · 18%
- Practice expense (office) RVU5.76 · 80%
- Malpractice RVU0.20 · 3%
187
Medicare services in 2024 · #4375 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.
46611 compared with similar codes
Office rates for Michigan, from the same CMS release.
$284.63–$302.24
46610 describes anoscopic removal of a foreign body. Code 46611 is for snare removal of a tumor, polyp, or other lesion.
$341.89–$365.00
Both codes involve anoscopic lesion removal, but 46611 specifies snare technique; 46612 specifies hot biopsy forceps or bipolar cautery.
$180.80–$191.77
46615 is for lesion ablation. Use 46611 when the documented treatment is snare removal rather than ablation.
Compare 46611 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.
2 of 2 payment localities
Detroit →
Office / nonfacility
$239.34
Facility
$78.50
Rest Of Michigan →
Office / nonfacility
$225.61
Facility
$73.44
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46611 billing questions
When should this code be selected instead of diagnostic anoscopy?
Use this code when the clinician removes a tumor, polyp, or other lesion with a snare. Diagnostic-only examination without snare removal is reported with 46600.
Can diagnostic anoscopy be billed separately on the same encounter?
The examination performed to locate and treat the lesion is part of the snare-removal service, rather than a separate diagnostic anoscopy.
How does this differ from anoscopic lesion removal with cautery?
This code identifies snare technique. Code 46612 is for lesion removal using hot biopsy forceps or bipolar cautery.
Should modifier 50 be used for lesions on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code; modifier 50 does not describe this anorectal service.
What staffing and same-day care rules affect payment?
The 0-day global period includes same-day preoperative and postoperative care. Medicare does not pay an assistant at surgery, and co-surgeons and team surgery are not permitted.
What happens when related endoscopies are performed during the same session?
CMS endoscopy-family pricing applies when related endoscopies are performed together. The record should identify the services performed and the lesion-removal technique.
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.
5,60246607,,Diagnostic anoscopy & biopsy,A,,2.15,4.46,,0.94,,0.30,6.91,3.39,0,000,0.00,0.00,0.00,3,0,1,0,0,9,46600,33.4009,09,0,99,0.00,0.00,0.00
5,60346608,,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