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See a sample rate comparisonCPT 46610 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.
Exam Of Anus With Scope, Exam Of The Anus Using A Scope (Anoscopy). The Procedure Removes Abnormal Tissue Such As Growths Or Polyps.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None 59 - Distinct Procedural Service 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 46610 |
| Medicaid Fee Schedule | View Medicaid rates for 46610 |
National average reimbursement for CPT 46610 by major payers:
$306.99
$312.22
$350.37
$155.94
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CPT 46610
5 of 25 sample ratesHigher to lower in this preview
Aurora Surgery Centers, LLC
Aurora Surgery Centers LLC
$7,169.00Published rateVillages Endoscopy Center LLC
$2,353.00Published rateBanner Union Hills Surgery Center LLC
$1,968.00Published rateSurgicenter Of Baltimore LLC, Surgicenter Of Baltimore
Surgicenter Of Baltimore LLC
$1,288.00Published rateM/S Surgery Center LLC, M/S Surgery Center LLC Whit
Ms Surgery Center LLC
$580.00Published rate
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See a sample payer proposalCPT 46610 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 46610 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 46610 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 46610. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 46610 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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