46500 Injection into hemorrhoid(s)
Also known as: sclerotherapy, hemorrhoid injection, chemical ablation
Injection therapy into hemorrhoids. Chemical agents (sclerosants) are injected into or around hemorrhoid tissue to induce fibrosis and hemostasis.
In Plain Language
injecting medicine into hemorrhoids to shrink them; chemical treatment to stop hemorrhoid bleeding
Clinical Context
Minimally invasive treatment for internal hemorrhoids with bleeding. Causes fibrosis and hemostasis; recurrence common without additional treatment.
RVU Breakdown
| Work RVU | 1.70 |
| Total RVU | 1.70 |
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 1.70, this code ranks in the 11th percentile among Surgery codes — 4.7x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 46500?
CPT 46500 (Injection into hemorrhoid(s)) is a Surgery code. Injection therapy into hemorrhoids. Chemical agents (sclerosants) are injected into or around hemorrhoid tissue to induce fibrosis and hemostasis.
What is the wRVU value for CPT 46500?
The work RVU for CPT 46500 is 1.70. This code is primarily used by Colorectal Surgery, Gastroenterology. It has a 10-day global period.
When is CPT 46500 used?
Minimally invasive treatment for internal hemorrhoids with bleeding. Causes fibrosis and hemostasis; recurrence common without additional treatment.
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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.