46945 Int hrhc ligament 1 hroid without img
Also known as: single hemorrhoid banding, RBL single group, ligation one hemorrhoid
Ligation of internal hemorrhoid(s) in a single hemorrhoid group without imaging guidance. Rubber band ligation of solitary internal hemorrhoid.
In Plain Language
banding a single internal hemorrhoid; rubber band treatment for one hemorrhoid
Clinical Context
Performed for bleeding internal hemorrhoids in single location. Outpatient procedure with high success rate.
RVU Breakdown
| Work RVU | 3.60 |
| Total RVU | 3.60 |
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 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 3.60, this code ranks in the 25th percentile among Surgery codes — 2.2x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 46945?
CPT 46945 (Int hrhc ligament 1 hroid without img) is a Surgery code. Ligation of internal hemorrhoid(s) in a single hemorrhoid group without imaging guidance. Rubber band ligation of solitary internal hemorrhoid.
What is the wRVU value for CPT 46945?
The work RVU for CPT 46945 is 3.60. This code is primarily used by Colorectal Surgery, Gastroenterology. It has a 90-day global period.
When is CPT 46945 used?
Performed for bleeding internal hemorrhoids in single location. Outpatient procedure with high success rate.
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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.