46260 Remove in/ex hem groups 2+
Also known as: extensive hemorrhoidectomy, multiple group hemorrhoidectomy, comprehensive hem removal, hemorrhoidectomy complex
Surgical removal of internal and external hemorrhoid groups (2 or more groups). Extensive hemorrhoidectomy addressing multiple hemorrhoidal complexes.
In Plain Language
removing multiple internal and external hemorrhoids; surgical treatment of severe hemorrhoid disease
Clinical Context
Indicated for extensive hemorrhoid disease with multiple symptomatic groups requiring surgical intervention. More complex than single-group procedures.
RVU Breakdown
| Work RVU | 6.56 |
| Total RVU | 6.56 |
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 6.56, this code ranks in the 43rd percentile among Surgery codes — 1.2x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 46260?
CPT 46260 (Remove in/ex hem groups 2+) is a Surgery code. Surgical removal of internal and external hemorrhoid groups (2 or more groups). Extensive hemorrhoidectomy addressing multiple hemorrhoidal complexes.
What is the wRVU value for CPT 46260?
The work RVU for CPT 46260 is 6.56. This code is primarily used by Colorectal Surgery, General Surgery. It has a 90-day global period.
When is CPT 46260 used?
Indicated for extensive hemorrhoid disease with multiple symptomatic groups requiring surgical intervention. More complex than single-group procedures.
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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.