46255 Remove int/external hem 1 group
Also known as: combined hem removal, internal-external hemorrhoidectomy, mixed hemorrhoid excision, hemorrhoidectomy
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.
In Plain Language
removal of both internal and external hemorrhoids in one area; treatment of mixed hemorrhoid disease
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 |
| Total RVU | 4.84 |
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 4.84, this code ranks in the 33rd percentile among Surgery codes — 1.7x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 46255?
CPT 46255 (Remove int/external hem 1 group) is a Surgery code. 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.
What is the wRVU value for CPT 46255?
The work RVU for CPT 46255 is 4.84. This code is primarily used by Colorectal Surgery, General Surgery. It has a 90-day global period.
When is CPT 46255 used?
Used when both internal and external hemorrhoids are present in the same anatomic group. Provides comprehensive treatment with single anesthesia episode.
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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.