46257 Remove in/ex hem group & fiss
Also known as: hem removal with fissure, hemorrhoidectomy with fissurectomy, combined treatment
Surgical removal of internal and external hemorrhoid groups with concurrent anal fissure treatment. Addresses both hemorrhoid disease and concurrent fissure pathology.
Clinical Context
Performed when hemorrhoids and anal fissures coexist, often with fissurectomy or sphincterotomy included. Common presentation in chronic hemorrhoid disease.
RVU Breakdown
| Work RVU | 5.62 |
| Practice Expense RVU | 6.02 |
| Malpractice RVU | 0.81 |
| Total RVU | 12.45 |
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.