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See a sample rate comparisonCPT 46601 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.
Diagnostic Anoscopy, Anoscopy Diagnostic With High Resolution Magnification Hra Eg Colposcope Operating Microscope And Chemical Agent Enhancement Including Collection Of Specimen S By Brushing Or Washing When Performed
| 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 AG - Primary physician UA |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 46601 |
| Medicaid Fee Schedule | View Medicaid rates for 46601 |
National average reimbursement for CPT 46601 by major payers:
$237.94
$191.12
$264.87
$176.38
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CPT 46601
5 of 25 sample ratesHigher to lower in this preview
Northshore Regional Medical Center Dba The Surgery Suite, The Surgery Suite
Ochsner Clinic Foundation
$2,500.00Published rateCamp Lowell Surgery Center,LLC, Camp Lowell Surgery Center
Camp Lowell Surgery Center
$555.00Published rateRincon Asc, LLC
Rincon Asc LLC
$285.00Published rateNovant Health Brunswick Endoscopy Center, LLC, Novant Health Brunswick Endoscopy
Novant Health Brunswick Endoscopy Center LLC
$113.00Published rateE. Ronald Salvitti, M.D., Inc., Southwestern PA Eye Surgery Center
E. Ronald Salvitti, M.D., Inc.
$50.00Published rate
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See a sample payer proposalCPT 46601 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 46601 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 46601 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 |
|---|---|---|
| 46600-CPT | Low | Rectal Exam With Scope, An Exam Of The Anus And Rectum Using A Scope (Anoscopy). The Procedure May Take A Sample Of Tissue For Testing (Biopsy). |
| 46601-CPT | Moderate | Diagnostic Anoscopy, Anoscopy Diagnostic With High Resolution Magnification Hra Eg Colposcope Operating Microscope And Chemical Agent Enhancement Including Collection Of Specimen S By Brushing Or Washing When Performed |
| 46607-CPT | Moderate | Diagnostic Anoscopy Biopsy, Anoscopy With High Resolution Magnification Hra Eg Colposcope Operating Microscope And Chemical Agent Enhancement With Biopsy Single Or Multiple |
| 46611-CPT | Moderate | Anoscopy; W/Remval Of Sngle Tumor Polyp Or Other Lesion By Snar, Anoscopy; With Removal Of Single Tumor Polyp Or Other Lesion By Snar |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 46601. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 46601 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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