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See a sample rate comparisonCPT 46615 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.
Endoscopic Procedure, Anoscopy; With Ablation Of Tumor(S) Polyp(S) Or Other Lesion(S) Not Amenable To Removal By Hot Biopsy Forceps Bipolar Cautery Or Snare Technique
| 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 XU - Unusual Non-Overlapping Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 46615 |
| Medicaid Fee Schedule | View Medicaid rates for 46615 |
National average reimbursement for CPT 46615 by major payers:
$204.28
$212.20
$234.70
$168.32
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CPT 46615
5 of 25 sample ratesHigher to lower in this preview
Ambulatory Surgery Center Group Ltd
$6,651.00Published rateSummit Ambulatory Surgical Center, LLC
$2,307.00Published rateNewbridge Surgery Center At Prince Frederick, LLC
Newbridge Surgery Center At Prince Frederick LLC
$1,318.00Published rateTavares Surgery LLC
$798.00Published rateEdin Alihodzic
Deaconess Hospital Inc
$265.73Published rate
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See a sample payer proposalCPT 46615 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 46615 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 46615 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 |
| 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 |
| 46614-CPT | Low | Anoscopy Control Bleeding, Anoscopy With Control Of Bleeding Eg Injection Bipolar Cautery Unipolar Cautery Laser Heater Probe Stapler Plasma Coagulator |
| 46615-CPT | Moderate | Endoscopic Procedure, Anoscopy; With Ablation Of Tumor(S) Polyp(S) Or Other Lesion(S) Not Amenable To Removal By Hot Biopsy Forceps Bipolar Cautery Or Snare Technique |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 46615. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 46615 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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