46900 Destruction anal lesion(s)
Also known as: anal lesion ablation, lesion destruction, anal cautery
Destruction of anal canal lesions using thermal, chemical, or mechanical methods. Destroys benign or precancerous lesions.
In Plain Language
burning or destroying a growth in the anus; destruction of anal lesions
Clinical Context
Performed for small benign lesions, warts, or condylomas. May use electrocautery, laser, chemical peels, or cryotherapy.
RVU Breakdown
| Work RVU | 1.86 |
| Total RVU | 1.86 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 10-day global period — follow-up visits within 10 days of the procedure are included in the reimbursement. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 1.86, this code ranks in the 13th percentile among Surgery codes — 4.3x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 46900?
CPT 46900 (Destruction anal lesion(s)) is a Surgery code. Destruction of anal canal lesions using thermal, chemical, or mechanical methods. Destroys benign or precancerous lesions.
What is the wRVU value for CPT 46900?
The work RVU for CPT 46900 is 1.86. This code is primarily used by Colorectal Surgery. It has a 10-day global period.
When is CPT 46900 used?
Performed for small benign lesions, warts, or condylomas. May use electrocautery, laser, chemical peels, or cryotherapy.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.