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See a sample rate comparisonCPT 46750 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.
Sphincteropl,Anal-Prolapse;Adult
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 46750 |
| Medicaid Fee Schedule | View Medicaid rates for 46750 |
National average reimbursement for CPT 46750 by major payers:
$951.55
$992.57
$1,013.53
$1,205.61
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CPT 46750
5 of 25 sample ratesHigher to lower in this preview
Southwest Connecticut Surgery Center, LLC
$5,310.00Published rateBaptist Surgery And Endoscopy Centers, LLC, Baptist Health Endoscopy Center At Miami Beach
$2,637.00Published rateSouth Coast Surgery Center, LLC
South Coast Surgery Center LLC
$2,040.00Published rateMt Pleasant Surgical Center, LLC, Mt Pleasant Surgical Center
Mt Pleasant Surgical Center LLC
$1,457.00Published rateCenter For Digestive Care LLC
$640.00Published rate
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See a sample payer proposalCPT 46750 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 46750 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 46750 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 |
|---|---|---|
| 46750-CPT | Moderate | Sphincteropl,Anal-Prolapse;Adult |
| 46751-CPT | Moderate | Sphincteroplasty Anal Child |
| 46922-CPT | Moderate | Excision Of Anal Lesion S, Destruction Of Lesion S Anus Eg Condyloma Papilloma Molluscum Contagiosum Herpetic Vesicle Simple Surgical Excision |
| 46924-CPT | Moderate | Destruction Anal Lesion S, Destruction Of Lesion S Anus Eg Condyloma Papilloma Molluscum Contagiosum Herpetic Vesicle Extensive Eg Laser Surgery Electrosurgery Cryosurgery Chemosurgery |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 46750. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 46750 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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