46255 Remove int/external hem 1 group
Also known as: combined hem removal, internal-external hemorrhoidectomy, mixed hemorrhoid excision
Surgical removal of internal and external hemorrhoid groups in a single group. This combined approach addresses both internal and external hemorrhoid disease in one location.
Clinical Context
Used when both internal and external hemorrhoids are present in the same anatomic group. Provides comprehensive treatment with single anesthesia episode.
RVU Breakdown
| Work RVU | 4.84 |
| Practice Expense RVU | 11.64 |
| Malpractice RVU | 0.91 |
| Total RVU | 17.39 |
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.