46221 Ligation of hemorrhoid(s)
Also known as: rubber band ligation, hemorrhoid banding, RBL
Ligation (banding) of one or more hemorrhoids. This minimally invasive procedure uses rubber bands to cut off blood supply to internal hemorrhoids, causing them to shrivel and fall off.
Clinical Context
First-line minimally invasive treatment for internal hemorrhoids with bleeding or prolapse. Performed in office setting with minimal discomfort.
RVU Breakdown
| Work RVU | 2.30 |
| Practice Expense RVU | 7.09 |
| Malpractice RVU | 0.36 |
| Total RVU | 9.75 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Specialties
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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.