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See a sample rate comparisonCPT 46930 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 Internal Hemorr, Destruction Of Internal Hemorrhoid(S) By Thermal Energy (E.G. Infrared Coagulation Cautery Radiofrequency)
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 11 - Office 24 - Ambulatory Surgical Center |
| Common Modifiers | None 58 - Staged or related procedure during postoperative period 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 46930 |
| Medicaid Fee Schedule | View Medicaid rates for 46930 |
National average reimbursement for CPT 46930 by major payers:
$238.55
$279.87
$292.30
$355.08
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CPT 46930
5 of 25 sample ratesHigher to lower in this preview
Crozer-Chester Medical Center
$2,163.00Published rateEndoscopy Asc Of Middle Georgia LLC
$967.00Published rateSouthwest Endoscopy Ltd
$587.00Published rateCharles Strickland
Deaconess Hospital Inc
$369.27Published rateAmbulatory Foot And Ankle Center, Inc.
Ambulatory Foot And Ankle Center Inc
$161.00Published rate
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See a sample payer proposalCPT 46930 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 46930 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 46930 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 |
|---|---|---|
| 46922-CPT | Moderate | Excision Of Anal Lesion S, Destruction Of Lesion S Anus Eg Condyloma Papilloma Molluscum Contagiosum Herpetic Vesicle Simple Surgical Excision |
| 46930-CPT | Moderate | Destruction Of Internal Hemorr, Destruction Of Internal Hemorrhoid(S) By Thermal Energy (E.G. Infrared Coagulation Cautery Radiofrequency) |
| 46940-CPT | Moderate | Curettage Or Cauterization Of, Curettage Or Cauterization Of Anal Fissure Includingdilation Of Anal Sphincter (Separate Procedure) Initial |
| 46942-CPT | Moderate | Curettage Or Cauterization Of, Curettage Or Cauterization Of Anal Fissure Includingdilation Of Anal Sphincter (Separate Procedure) Subsequent |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 46930. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 46930 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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