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See a sample rate comparisonCPT 46607 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 Biopsy, Anoscopy With High Resolution Magnification Hra Eg Colposcope Operating Microscope And Chemical Agent Enhancement With Biopsy Single Or Multiple
| 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 51 - Multiple procedures 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 46607 |
| Medicaid Fee Schedule | View Medicaid rates for 46607 |
National average reimbursement for CPT 46607 by major payers:
$337.03
$267.71
$414.38
$231.98
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CPT 46607
5 of 25 sample ratesHigher to lower in this preview
Lubbock County Hospital District, University Medical Center
Lubbock County Hospital District
$3,181.00Published rateBaptist Healthcare System, Inc., Baptist Health Surgery Center Eastpoint
Baptist Healthcare System Inc
$1,735.00Published rateUrlogy Ambulatory Surgery Center LLC, Wolf River Surgery Center
Urlogy Ambulatory Surgery Center LLC
$1,100.00Published rateEye Associates Surgery Center Inc, Cascadia Surgical
Eye Associates Surgery Center Inc
$589.00Published rateDeaconess Hospital, Inc, <Unavail>
Deaconess Hospital Inc
$344.67Published rate
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See a sample payer proposalCPT 46607 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 46607 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 46607 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 |
|---|---|---|
| 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 |
| 46604-CPT | Moderate | Exam Of Anus With Scope, Examination Of The Anus Using A Scope To View The Anal Canal. The Procedure Includes Widening Of The Anal Canal. |
| 46606-CPT | Moderate | 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). |
| 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 |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 46607. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 46607 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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