46261 Remove in/ex hem grps & fiss
Also known as: extensive hem removal with fissure, multiple group hemorrhoidectomy with fissurectomy
Surgical removal of internal and external hemorrhoid groups (2 or more) with concurrent anal fissure treatment. Comprehensive hemorrhoidectomy with fissure management.
Clinical Context
Performed for extensive hemorrhoid disease with concurrent fissures. Addresses multiple hemorrhoidal groups and anal fissure pathology simultaneously.
RVU Breakdown
| Work RVU | 7.57 |
| Practice Expense RVU | 6.42 |
| Malpractice RVU | 1.44 |
| Total RVU | 15.43 |
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.