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See a sample rate comparisonCPT 46700 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.
Remove Tissue And Rebuild Anus, Surgery On The Anus To Reduce An Anal Stricture. A Stricture Causes The Tissue To Contract Or Tighten Around The Anal Opening.
| 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 46700 |
| Medicaid Fee Schedule | View Medicaid rates for 46700 |
National average reimbursement for CPT 46700 by major payers:
$815.51
$856.43
$887.32
$1,052.59
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CPT 46700
5 of 25 sample ratesHigher to lower in this preview
Surgery Center Of Port Charlotte Ltd
$6,651.00Published ratePrince William Ambulatory Surgery Center, LLC, Prince William Surgery Center
Prince William Ambulatory
$2,353.00Published rateBaptist Health Surgery Center LLC
Baptist Health Surgery Center, L
$1,418.00Published rateComprehensive Surgical Center Of Green, LLC
Comprehensive Surgical Center Of Green LLC
$1,000.00Published rateMetropolitan Ambulatory Urologic Institute, L.L.C.
Metropolitan Ambulatory Urologic Institute LLC
$494.00Published rate
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See a sample payer proposalCPT 46700 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 46700 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 46700 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). |
| 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 |
| 46700-CPT | Moderate | Remove Tissue And Rebuild Anus, Surgery On The Anus To Reduce An Anal Stricture. A Stricture Causes The Tissue To Contract Or Tighten Around The Anal Opening. |
| 46705-CPT | Moderate | Remove Tissue And Rebuild Anus, Surgery On The Anus Of An Infant To Reduce An Anal Stricture. A Stricture Causes The Tissue To Contract Or Tighten Around The Anal Opening. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 46700. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 46700 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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