46262 Remove in/ex hem grps with fist
Also known as: extensive hem removal with fistula, multiple group hemorrhoidectomy with fistula repair
Surgical removal of internal and external hemorrhoid groups (2 or more) with concurrent anal fistula treatment. Complex procedure addressing extensive hemorrhoid disease and fistula.
Clinical Context
Performed when extensive hemorrhoids coexist with anal fistulas. Addresses all pathology simultaneously, though complex and carries higher morbidity.
RVU Breakdown
| Work RVU | 7.71 |
| Practice Expense RVU | 7.83 |
| Malpractice RVU | 2.06 |
| Total RVU | 17.60 |
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.