$268.16
46900 represents simple anal lesion destruction; 46910 is the extensive-destruction code. The documented scope of treatment guides the choice.
On this page
CMS RVU26D · Effective 2026-10-01
46910 Anal lesion destruction Medicare reimbursement rates in Minnesota
Reports extensive destruction of anal lesions, such as condylomas or papillomas, when the documented procedure meets this code’s extent criteria. Compare 46910 office and facility rates across CMS payment localities in Minnesota.
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 46910 in Minnesota?
Minnesota 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
$296.05
1 of 1 localities have a supported rate.
Payment area: Minnesota
One mapped payment locality.
Facility setting
$124.55
1 of 1 localities have a supported rate.
Payment area: Minnesota
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 procedure
About 46910: Extensive anal lesion destruction
Reports extensive destruction of anal lesions, such as condylomas or papillomas, when the documented procedure meets this code’s extent criteria.
This code represents extensive destruction of lesions on the anus, rather than removal by excision. Typical targets include anal condylomas or papillomas. A colorectal or general surgeon commonly performs the procedure in an office procedure room, ambulatory setting, or operating room, depending on the extent of treatment and the patient’s needs.
Choose this code when the operative or procedure note supports extensive lesion destruction; use the documented treatment method, lesion distribution, and scope to distinguish it from simple destruction or codes naming a specific technique. The note should identify the anal lesions treated and describe the extent of treatment. Medicare assigns a 10-day global period, so related postoperative visits during that 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. Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.
CMS billing rules for 46910
- 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 · 21%
- Practice expense (office) RVU6.72 · 76%
- Malpractice RVU0.30 · 3%
1.1K
Medicare services in 2024 · #2908 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.
46910 compared with similar codes
Office rates for Minnesota, from the same CMS release.
$254.85
46916 specifically identifies cryosurgery. Choose it when freezing is the documented treatment method, rather than reporting 46910 based only on lesion extent.
$468.83
46917 identifies laser surgery of anal lesions. Use it when laser treatment is performed; 46910 represents extensive destruction without that technique-specific label.
$343.73
46922 is for excising anal lesions. Choose 46910 when the lesions are destroyed rather than excised.
Compare 46910 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
Minnesota →
Office / nonfacility
$296.05
Facility
$124.55
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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 46910 in Minnesota.
PPRRVU2026_Oct_nonQPP.csv
5,631
- Code
- 46910
- Physician work
- 1.86
- Practice expense
- 6.72
- Malpractice
- 0.30
GPCI2026.csv
66
- Locality
- Minnesota
- Physician work
- 1.000
- Practice expense
- 1.029
- Malpractice
- 0.296
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.86 | × 1.000 | 1.8600 |
| Practice expense | 6.72 | × 1.029 | 6.9149 |
| Malpractice | 0.30 | × 0.296 | 0.0888 |
| Total RVUs | 8.8637 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Minnesota$296.05
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.86 | 1 |
| Practice expense | 6.72 | 1.029 |
| Malpractice | 0.3 | 0.296 |
(1.86 × 1 + 6.72 × 1.029 + 0.3 × 0.296) × $33.4009 = $296.05
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.86 | 1 |
| Practice expense | 1.73 | 1.029 |
| Malpractice | 0.3 | 0.296 |
(1.86 × 1 + 1.73 × 1.029 + 0.3 × 0.296) × $33.4009 = $124.55
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.
46910 billing questions
How does 46910 differ from 46900?
46910 is for extensive anal lesion destruction; 46900 is the simple-destruction code. The documentation should support the extent selected.
When should a cryosurgery or laser code be considered instead?
Use 46916 for cryosurgery and 46917 for laser surgery when the documented procedure uses those named techniques. Do not select 46910 solely because lesions are extensive if a technique-specific code describes the service.
Is destruction reported instead of excision?
Yes. When the lesions are removed by excision, consider 46922 rather than a destruction code.
Are related postoperative visits separately payable during the global period?
Related postoperative visits during the 10-day global period are included in 46910.
Can modifier 50 be used for lesions on both sides?
No. Bilateral adjustment does not apply, and modifier 50 is inappropriate for this code.
Can an assistant surgeon or co-surgeon be reported?
Medicare does not pay an assistant at surgery for 46910. 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.
5,62846760,,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
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
6314212,MA,99,REST OF MASSACHUSETTS,1.016,1.053,0.797
6408202,MI,01,DETROIT,1.000,0.965,1.686
6508202,MI,99,REST OF MICHIGAN,1.000,0.913,1.129
6606202,MN,00,MINNESOTA,1.000,1.029,0.296
6707302,MS,00,MISSISSIPPI,1.000,0.861,0.739
6805302,MO,02,METROPOLITAN KANSAS CITY,1.000,0.939,0.977
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002