$326.25
46220 is for one external tag or papilla; 46230 is for multiple external tags.
On this page
CMS RVU26D · Effective 2026-10-01
46220 Anal tag excision Medicare reimbursement rates in Utah
Reports excision of one external anal skin tag or papilla when the treated tissue is a tag rather than hemorrhoidal disease. Compare 46220 office and facility rates across CMS payment localities in Utah.
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 46220 in Utah?
Utah 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
$261.76
1 of 1 localities have a supported rate.
Payment area: Utah
One mapped payment locality.
Facility setting
$115.14
1 of 1 localities have a supported rate.
Payment area: Utah
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 surgery
About 46220: Single external anal tag excision
Reports excision of one external anal skin tag or papilla when the treated tissue is a tag rather than hemorrhoidal disease.
A clinician removes one external anal skin tag or hypertrophied anal papilla, typically to address irritation, hygiene difficulty, or discomfort. Colorectal and general surgeons commonly perform the procedure in an office or outpatient setting, with the site examined and the lesion excised. The operative note should identify the external lesion and document that one tag or papilla was removed, rather than describing treatment of hemorrhoids or an anal fissure.
Report this code for a single external tag; use the multiple-tag code when more than one is excised. Related postoperative visits during the 10-day global 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 multiple-procedure reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service, and co-surgeons and team surgery are not permitted.
CMS billing rules for 46220
- 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 RVU1.57 · 19%
- Practice expense (office) RVU6.39 · 77%
- Malpractice RVU0.29 · 4%
991
Medicare services in 2024 · #2977 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.
46220 compared with similar codes
Office rates for Utah, from the same CMS release.
$310.22
46221 treats hemorrhoids by ligation. Choose 46220 only when the excised lesion is an external tag or papilla.
$511.67
46250 is hemorrhoidectomy for multiple external hemorrhoid groups; 46220 is for a single external tag or papilla.
Compare 46220 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
Utah →
Office / nonfacility
$261.76
Facility
$115.14
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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 46220 in Utah.
PPRRVU2026_Oct_nonQPP.csv
5,580
- Code
- 46220
- Physician work
- 1.57
- Practice expense
- 6.39
- Malpractice
- 0.29
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.57 | × 1.000 | 1.5700 |
| Practice expense | 6.39 | × 0.940 | 6.0066 |
| Malpractice | 0.29 | × 0.898 | 0.2604 |
| Total RVUs | 7.8370 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Utah$261.76
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.57 | 1 |
| Practice expense | 6.39 | 0.94 |
| Malpractice | 0.29 | 0.898 |
(1.57 × 1 + 6.39 × 0.94 + 0.29 × 0.898) × $33.4009 = $261.76
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.57 | 1 |
| Practice expense | 1.72 | 0.94 |
| Malpractice | 0.29 | 0.898 |
(1.57 × 1 + 1.72 × 0.94 + 0.29 × 0.898) × $33.4009 = $115.14
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.
46220 billing questions
When should this code be chosen over 46230?
Use this code when one external anal tag or papilla is excised. Use 46230 when multiple external tags are removed.
Can this code be reported for hemorrhoid removal?
No. It describes excision of an external tag or papilla, not hemorrhoidal tissue. Select the hemorrhoid procedure that matches the documented disease and operative treatment.
Are related postoperative visits separately reported?
Visits related to the procedure during its 10-day global period are included.
Should modifier 50 be appended for tags on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code.
How does Medicare handle another procedure performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this service, 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.
5,57746080,,Sphnctrotmy anal div sphnctr,A,,2.46,6.50,,1.54,,0.49,9.45,4.49,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,57846083,,Inc thrombosed hroid xtrnl,A,,1.41,5.06,,1.53,,0.28,6.75,3.22,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,57946200,,Removal of anal fissure,A,,3.50,11.79,,6.31,,0.60,15.89,10.41,0,090,0.09,0.81,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,58046220,,Excise anal ext tag/papilla,A,,1.57,6.39,,1.72,,0.29,8.25,3.58,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,58146221,,Ligation of hemorrhoid(s),A,,2.30,7.09,,3.24,,0.36,9.75,5.90,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,58246230,,Removal of anal tags,A,,2.55,7.22,,1.95,,0.48,10.25,4.98,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,58346250,,Remove ext hem groups 2+,A,,4.14,11.09,,4.56,,0.84,16.07,9.54,0,090,0.09,0.81,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10104412,TX,15,GALVESTON,1.008,0.993,0.828
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985