46250 Remove external hem groups 2+
Also known as: external hemorrhoidectomy, multiple hemorrhoid removal, external hem excision
Surgical removal of external hemorrhoid groups (multiple hemorrhoids), specifically when 2 or more external hemorrhoid groups are present. Involves hemorrhoidectomy for extensive external disease.
Clinical Context
Performed for severe symptomatic external hemorrhoids with bleeding, thrombosis, or significant irritation. Often used when multiple groups are involved and banding is insufficient.
RVU Breakdown
| Work RVU | 4.14 |
| Practice Expense RVU | 11.09 |
| Malpractice RVU | 0.84 |
| Total RVU | 16.07 |
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.