46922 Excision of anal lesion(s)
Also known as: anal lesion excision, surgical removal, lesion resection
Surgical excision of anal canal lesions. Complete removal of anal lesions by scalpel or other cutting instrument.
In Plain Language
surgically removing a lesion from the anus; cutting out an anal growth
Clinical Context
Used for suspicious lesions requiring complete excision with pathologic examination, or lesions not amenable to ablation.
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 46922?
CPT 46922 (Excision of anal lesion(s)) is a Surgery code. Surgical excision of anal canal lesions. Complete removal of anal lesions by scalpel or other cutting instrument.
What is the wRVU value for CPT 46922?
The work RVU for CPT 46922 is 1.86. This code is primarily used by Colorectal Surgery. It has a 10-day global period.
When is CPT 46922 used?
Used for suspicious lesions requiring complete excision with pathologic examination, or lesions not amenable to ablation.
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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.