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See a sample rate comparisonCPT 46900 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.
Destruction Of Lesion(S) Anu, Destruction Of Lesion(S) Anus (Eg Condyloma Papillomamolluscum Contagiosum Herpetic Vesicle) Simple Chemical Destruction Of Lesion(S) Anus (Eg Condyloma Papilloma
| 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 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 46900 |
| Medicaid Fee Schedule | View Medicaid rates for 46900 |
National average reimbursement for CPT 46900 by major payers:
$274.03
$303.26
$330.26
$240.52
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CPT 46900
5 of 25 sample ratesHigher to lower in this preview
Northwest Surgery Center LLC, Foot & Ankle Surgery Center
$3,922.00Published rateUcsd Center For Surgery Of Encinitas, L.P.
$534.00Published rateGreensboro Ophthalmology Asc LLC, Surgical Eye Center
Greensboro Ophthalmology LLC, Asc
$310.00Published rateEye Surgery Center Of East Texas LLC
$140.00Published rateTarboro Endoscopy Center, LLC
Tarboro Endoscopy Center LLC
$70.00Published rate
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See a sample payer proposalCPT 46900 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 46900 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 46900 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 |
|---|---|---|
| 46900-CPT | Moderate | Destruction Of Lesion(S) Anu, Destruction Of Lesion(S) Anus (Eg Condyloma Papillomamolluscum Contagiosum Herpetic Vesicle) Simple Chemical Destruction Of Lesion(S) Anus (Eg Condyloma Papilloma |
| 46910-CPT | Moderate | Anus Surgery To Remove Growth, Surgery To Destroy And Remove Abnormal Tissue From The Anus. The Tissue May Be Destroyed With Heat Cold Chemicals Or A Laser. |
| 46916-CPT | Moderate | Anus Surgery To Remove Growth, Surgery To Destroy And Remove Abnormal Tissue From The Anus. The Tissue May Be Destroyed With Heat Cold Chemicals Or A Laser. |
| 46922-CPT | Moderate | Excision Of Anal Lesion S, Destruction Of Lesion S Anus Eg Condyloma Papilloma Molluscum Contagiosum Herpetic Vesicle Simple Surgical Excision |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 46900. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 46900 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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