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.
In Plain Language
removing multiple hemorrhoids and closing an anal fistula; comprehensive treatment of hemorrhoids 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 |
| Total RVU | 7.71 |
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 7.71, this code ranks in the 49th percentile among Surgery codes — 1.0x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 46262?
CPT 46262 (Remove in/ex hem grps with fist) is a Surgery code. Surgical removal of internal and external hemorrhoid groups (2 or more) with concurrent anal fistula treatment. Complex procedure addressing extensive hemorrhoid disease and fistula.
What is the wRVU value for CPT 46262?
The work RVU for CPT 46262 is 7.71. This code is primarily used by Colorectal Surgery, General Surgery. It has a 90-day global period.
When is CPT 46262 used?
Performed when extensive hemorrhoids coexist with anal fistulas. Addresses all pathology simultaneously, though complex and carries higher morbidity.
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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.