$249.07–$291.29
Choose 46917 for simple laser destruction and 46916 for simple cryosurgical destruction. The treatment method documented in the procedure note separates the codes.
On this page
CMS RVU26D · Effective 2026-10-01
46917 Anal lesion laser Medicare reimbursement rates in Virginia
Reports simple laser destruction of anal lesions, such as condylomata, when laser energy is used instead of another destruction method or excision. Compare 46917 office and facility rates across CMS payment localities in Virginia.
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 46917 in Virginia?
Virginia 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
$454.75–$538.58
2 of 2 localities have a supported rate.
Facility setting
$117.23–$134.10
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 surgery
About 46917: Simple laser destruction of anal lesions
Reports simple laser destruction of anal lesions, such as condylomata, when laser energy is used instead of another destruction method or excision.
This service uses laser energy to destroy anal lesions rather than remove them as tissue specimens. A common indication is ablation of anal condylomata (warts). Colorectal or general surgeons typically perform it in an office procedure room or operating room, depending on lesion burden, access, and patient needs.
Report 46917 for simple destruction when laser is the treatment method. Documentation should identify the treated anal site, lesions addressed, technique, and extent to support the code rather than a code for extensive destruction. Use a different family code when lesions are treated chemically, electrically, by cryotherapy, or excised. The 10-day global period includes related postoperative visits during that interval. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% 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 46917
- 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 · 13%
- Practice expense (office) RVU11.75 · 85%
- Malpractice RVU0.29 · 2%
486
Medicare services in 2024 · #3591 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.
46917 compared with similar codes
Office rates for Virginia, from the same CMS release.
$608.60–$719.95
46917 describes simple laser destruction; 46924 is for extensive destruction of anal lesions. Base the distinction on documented treatment extent.
$336.23–$397.17
46922 is used when anal lesions are excised. Use 46917 when the lesions are destroyed with laser energy instead of being removed.
Compare 46917 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
Dc + Md/Va Suburbs →
Office / nonfacility
$538.58
Facility
$134.10
Virginia →
Office / nonfacility
$454.75
Facility
$117.23
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46917 billing questions
How does 46917 differ from 46916?
Both describe simple destruction of anal lesions, but 46917 is for laser surgery and 46916 is for cryosurgery. The documented treatment method distinguishes them.
When should 46924 be considered instead?
46924 describes extensive destruction of anal lesions. Use the operative documentation of the extent of treatment to distinguish it from simple laser destruction reported with 46917.
Is modifier 50 appropriate for lesions on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code; do not use modifier 50.
Are related postoperative visits separately payable during the global period?
Related postoperative visits during the 10-day global period are included in the procedure payment.
Can an assistant surgeon or co-surgeon be reported?
Medicare does not pay an assistant at surgery for 46917. 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.
5,63046900,,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
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