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.
In Plain Language
surgical removal of multiple external hemorrhoids; taking out multiple hemorrhoid groups
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 |
| Total RVU | 4.14 |
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 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 4.14, this code ranks in the 28th percentile among Surgery codes — 1.9x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 46250?
CPT 46250 (Remove external hem groups 2+) is a Surgery code. Surgical removal of external hemorrhoid groups (multiple hemorrhoids), specifically when 2 or more external hemorrhoid groups are present. Involves hemorrhoidectomy for extensive external disease.
What is the wRVU value for CPT 46250?
The work RVU for CPT 46250 is 4.14. This code is primarily used by Colorectal Surgery, General Surgery. It has a 90-day global period.
When is CPT 46250 used?
Performed for severe symptomatic external hemorrhoids with bleeding, thrombosis, or significant irritation. Often used when multiple groups are involved and banding is insufficient.
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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.