46320 Removal of hemorrhoid clot
Also known as: thrombectomy, clot removal, hemorrhoid drainage
Surgical removal of a thrombosed hemorrhoid clot. This procedure evacuates the blood clot from a thrombosed hemorrhoid for acute pain relief.
In Plain Language
removing a blood clot from a hemorrhoid; draining painful hemorrhoid clot
Clinical Context
Performed acutely for thrombosed internal or external hemorrhoids causing severe pain. Most effective within 72 hours of symptom onset.
RVU Breakdown
| Work RVU | 1.60 |
| Total RVU | 1.60 |
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 10-day global period — follow-up visits within 10 days of the procedure are included in the reimbursement. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 1.60, this code ranks in the 10th percentile among Surgery codes — 5.0x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 46320?
CPT 46320 (Removal of hemorrhoid clot) is a Surgery code. Surgical removal of a thrombosed hemorrhoid clot. This procedure evacuates the blood clot from a thrombosed hemorrhoid for acute pain relief.
What is the wRVU value for CPT 46320?
The work RVU for CPT 46320 is 1.60. This code is primarily used by Colorectal Surgery, General Surgery. It has a 10-day global period.
When is CPT 46320 used?
Performed acutely for thrombosed internal or external hemorrhoids causing severe pain. Most effective within 72 hours of symptom onset.
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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.