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See a sample rate comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 23 - Emergency Room 22 - On Campus Outpatient Hospital |
| Common Modifiers | None GC - Service performed by resident under supervision 52 - Reduced Services |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 46608 |
| Medicaid Fee Schedule | View Medicaid rates for 46608 |
National average reimbursement for CPT 46608 by major payers:

$304.17

$326.90

$371.54

$151.23
Choose a payer to see a sample of rates for CPT 46608.
Summerlin Bend Surgery Center
Texas Institute Of Specialized Surgery LLC
Grossmont Outpatient Surgical Ce
Cape Surgery Center LLC
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Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
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See a sample payer proposalCPT 46608 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 46608 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 46608 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 |
|---|---|---|
| 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). |
| 46608-CPT | Moderate | Remove Object From Anus, Exam Of The Anus Using A Scope (Anoscopy). The Exam Includes Removal Of A Foreign Object From The Anus. |
| 46610-CPT | Moderate | Exam Of Anus With Scope, Exam Of The Anus Using A Scope (Anoscopy). The Procedure Removes Abnormal Tissue Such As Growths Or Polyps. |
| 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 46608. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 46608 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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