$290.06–$304.69
Choose 46900 for simple chemical destruction of anal lesions; 46916 is for simple destruction by freezing.
On this page
CMS RVU26D · Effective 2026-10-01
46916 Anal lesion treatment Medicare reimbursement rates in New Jersey
Reports simple destruction of anal lesion(s) by freezing, commonly for anal condylomata, when cryosurgery is the documented treatment method. Compare 46916 office and facility rates across CMS payment localities in New Jersey.
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 46916 in New Jersey?
New Jersey 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
$274.37–$288.21
2 of 2 localities have a supported rate.
Facility setting
$130.30–$135.17
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 procedures
About 46916: Simple anal lesion cryosurgery
Reports simple destruction of anal lesion(s) by freezing, commonly for anal condylomata, when cryosurgery is the documented treatment method.
Code 46916 represents destruction of one or more anal lesions by freezing, most commonly anal condylomata. A colorectal or general surgeon typically applies a cryogenic agent to the lesion or lesions in an office procedure room or a facility setting. The code is distinguished by the cryosurgical method and simple treatment level, rather than extensive destruction.
Report it when the clinician documents cryosurgery and an extent consistent with simple treatment. The record should identify the treated lesion(s), anal site, method, and extent. The 10-day global period includes related postoperative visits during that period. When multiple procedures subject to the standard reduction are performed in one session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate; assistant-at-surgery payment is barred by statutory restriction, and co-surgeon and team-surgery billing are not permitted.
CMS billing rules for 46916
- 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 · 24%
- Practice expense (office) RVU5.55 · 73%
- Malpractice RVU0.20 · 3%
561
Medicare services in 2024 · #3455 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.
46916 compared with similar codes
Office rates for New Jersey, from the same CMS release.
$320.71–$337.11
Choose 46910 for simple electrosurgical destruction. Use 46916 when cryosurgery is the documented method.
$674.09–$710.85
46924 represents extensive anal lesion destruction; 46916 represents simple cryosurgical treatment.
$372.87–$392.33
46922 is for excision, which removes lesion tissue. Code 46916 describes destruction by freezing.
Compare 46916 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
Northern Nj →
Office / nonfacility
$288.21
Facility
$135.17
Rest Of New Jersey →
Office / nonfacility
$274.37
Facility
$130.30
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46916 billing questions
How does 46916 differ from 46900 or 46910?
46916 identifies cryosurgery. The neighboring codes distinguish other simple destruction methods, including chemical treatment and electrosurgical treatment.
When should extensive destruction be considered instead?
Use 46924 when the documented destruction is extensive. Code 46916 is for simple treatment by cryosurgery.
Can modifier 50 be reported?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
Are postoperative visits separately reported during the global period?
Related postoperative visits during the 10-day global period are included in the procedure.
How does Medicare apply the multiple-procedure reduction?
For qualifying procedures in the same session, the highest-valued procedure is paid in full and the others at 50%. Assistant-at-surgery payment is restricted, and 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.
5,62946761,,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
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