46258 Remove in/ex hem group with fistu
Also known as: hem removal with fistula, hemorrhoidectomy with fistula repair, combined procedures
Surgical removal of internal and external hemorrhoid groups with concurrent anal fistula treatment. Comprehensive procedure addressing both hemorrhoids and fistula disease.
Clinical Context
Performed when hemorrhoids and anal fistulas occur together, addressing both pathologies simultaneously. May include fistula-in-ano tract management.
RVU Breakdown
| Work RVU | 6.25 |
| Practice Expense RVU | 6.48 |
| Malpractice RVU | 1.67 |
| Total RVU | 14.40 |
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.