CPT 46924
Global 010 ActiveDestruction anal lesion(s)
CPT 46924 Billing & Documentation Guide
CPT code 46924 (Destruction anal lesion(s)) is classified under Surgery (Digestive) with a global period indicator of 010. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 2.74, a non-facility practice expense RVU of 15.44, and a malpractice RVU of 0.43, a total non-facility RVU of 18.61 and facility RVU of 5.15. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $643.89, though rates vary from $541.91 to $852.94 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 46924, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 46924 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
10-day global period (minor procedure: pre-op day + procedure + 10 days post-op)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 46924 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 46924
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 2.74 | 2.74 |
| Practice Expense RVU | 15.44 | 1.98 |
| Malpractice RVU | 0.43 | 0.43 |
| Total RVU | 18.61 | 5.15 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 46924
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $712.81 | $180.84 | $665.99 - $852.94 | 29 |
| Florida | $636.9 | $185.83 | $606.12 - $664.69 | 3 |
| Georgia | $600.83 | $171.93 | $568.65 - $633 | 2 |
| Illinois | $617.59 | $183.19 | $584.81 - $647.24 | 4 |
| Michigan | $595.99 | $173.83 | $578.58 - $613.39 | 2 |
| North Carolina | $581.85 | $162.4 | $581.85 - $581.85 | 1 |
| New York | $690.71 | $189.16 | $591.54 - $737.23 | 5 |
| Ohio | $576.84 | $166.38 | $576.84 - $576.84 | 1 |
| Pennsylvania | $612.83 | $172.48 | $578.51 - $647.15 | 2 |
| Texas | $613.08 | $170.47 | $574.16 - $650.05 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 46924
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 46924 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 00902 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 0213T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0216T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0226T | Column 1 (primary), can be billed with modifier | No | CPT Separate procedure definition |
| 0228T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0230T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0288T | Column 1 (primary), can be billed with modifier | No | CPT Separate procedure definition |
| 0596T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0597T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0708T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
Frequently Asked Questions, CPT 46924
What does CPT code 46924 mean? +
CPT code 46924 represents: Destruction anal lesion(s). It's in the Surgery (Digestive) category with a global period of 010.
What is the Medicare reimbursement for CPT 46924? +
The 2026 Medicare national average non-facility payment for CPT 46924 is $643.89. Rates range from $541.91 to $852.94 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 46924? +
Surgery codes commonly use modifier 22 (increased procedural services), 50 (bilateral), 51 (multiple procedures), 52 (reduced services), 58/78/79 (staged, unplanned return, unrelated within global), 62 (co-surgeons), 80/82 (assistant surgeon), and 59 or the X{EPSU} subset for distinct procedural service.
What bundling edits apply to CPT 46924? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 2, 2026.
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