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See a sample rate comparisonCPT 46922 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.
Excision Of Anal Lesion S, Destruction Of Lesion S Anus Eg Condyloma Papilloma Molluscum Contagiosum Herpetic Vesicle Simple Surgical Excision
| 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 51 - Multiple procedures 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 46922 |
| Medicaid Fee Schedule | View Medicaid rates for 46922 |
National average reimbursement for CPT 46922 by major payers:
$325.80
$358.41
$409.59
$243.44
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CPT 46922
5 of 25 sample ratesHigher to lower in this preview
The Emory Clinic Inc., Emory Aesthetic Center
Emory University
$4,263.00Published rateSurgcenter Of Bel Air
Surgcenter Of Bel Air, LLC
$1,840.00Published rateVancouver Eye Care Ps
Vancouver Eye Care, P.S.
$1,400.00Published rateCenter For Digestive Health Ltd
The Center For Digestive Health Ltd
$944.88Published rateLakeland Fl Endoscopy Asc LLC, Surgery Center Of Lakeland Hills Boulevard
Lakeland Fl Endoscopy Asc LLC
$519.00Published rate
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See a sample payer proposalCPT 46922 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 46922 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 46922 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. |
| 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 46922. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 46922 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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