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.
In Plain Language
removing multiple hemorrhoids and fixing anal tears; comprehensive treatment of hemorrhoids and fissure
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 |
| Total RVU | 7.57 |
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 7.57, this code ranks in the 48th percentile among Surgery codes — 1.1x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 46261?
CPT 46261 (Remove in/ex hem grps & fiss) is a Surgery code. Surgical removal of internal and external hemorrhoid groups (2 or more) with concurrent anal fissure treatment. Comprehensive hemorrhoidectomy with fissure management.
What is the wRVU value for CPT 46261?
The work RVU for CPT 46261 is 7.57. This code is primarily used by Colorectal Surgery, General Surgery. It has a 90-day global period.
When is CPT 46261 used?
Performed for extensive hemorrhoid disease with concurrent fissures. Addresses multiple hemorrhoidal groups and anal fissure pathology simultaneously.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against MGMA data — all in one app.
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.