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.
In Plain Language
tying off hemorrhoids with a rubber band; cutting off blood supply to shrivel hemorrhoids
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 |
| Total RVU | 2.30 |
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 2.30, this code ranks in the 16th percentile among Surgery codes — 3.5x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 46221?
CPT 46221 (Ligation of hemorrhoid(s)) is a Surgery code. 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.
What is the wRVU value for CPT 46221?
The work RVU for CPT 46221 is 2.30. This code is primarily used by Colorectal Surgery, Gastroenterology. It has a 10-day global period.
When is CPT 46221 used?
First-line minimally invasive treatment for internal hemorrhoids with bleeding or prolapse. Performed in office setting with minimal discomfort.
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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.