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See a sample rate comparisonCPT 46220 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Remove Skin Tag Near Anus, Surgery To Remove One Or More Skin Tags (Tiny Hanging Growths) Or Bumps Near The Anus.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 46220 |
| Medicaid Fee Schedule | View Medicaid rates for 46220 |
National average reimbursement for CPT 46220 by major payers:
$258.00
$276.70
$326.04
$209.26
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CPT 46220
5 of 25 sample ratesHigher to lower in this preview
West Penn Allegheny Health System Inc., Allegheny General Hospital
Highmark Health
$3,564.21Published rateUcsd Ambulatory Surgery Center, LLC
$1,447.00Published rateGold Coast Surgicenter, LLC
$1,032.00Published rateEye Surgical Specialists Of New Jersey, Surgery Center Of Central New Jersey
Eye Surgical Specialists Of New Jersey
$728.00Published rateReno Orthopaedic Surgery Center LLC
$452.00Published rate
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See a sample payer proposalCPT 46220 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 46220 code is part of the Surgery services used for Surgical Procedures on the Digestive System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 46220 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 46200-CPT | Moderate | Surgery Anal Tissue Repair, Surgery To Repair A Fissure (Deep Crack) In The Tissues. The Procedure May Include Removing A Portion Of The Sphincter Muscle. |
| 46220-CPT | Moderate | Remove Skin Tag Near Anus, Surgery To Remove One Or More Skin Tags (Tiny Hanging Growths) Or Bumps Near The Anus. |
| 46221-CPT | Moderate | Hemorrhoid Removal, Removal Of One Or More Hemorrhoids Inside The Anus By Cutting Off The Blood Supply To The Tissue. |
| 46230-CPT | Moderate | Remove Skin Tag Near Anus, Surgery To Remove One Or More Skin Tags (Tiny Hanging Growths) Or Bumps Near The Anus. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 46220. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 46220 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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