46946 Int hrhc ligament 2+hroid without img
Also known as: multiple hemorrhoid banding, RBL multiple groups, ligation multiple hemorrhoids
Ligation of internal hemorrhoids (2 or more groups) without imaging guidance. Rubber band ligation for multiple hemorrhoid sites.
In Plain Language
banding multiple hemorrhoids at different locations; treating several hemorrhoid sites
Clinical Context
Performed for bleeding internal hemorrhoids in 2 or more anatomic locations. May require multiple sessions.
RVU Breakdown
| Work RVU | 4.39 |
| Total RVU | 4.39 |
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 4.39, this code ranks in the 30th percentile among Surgery codes — 1.8x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 46946?
CPT 46946 (Int hrhc ligament 2+hroid without img) is a Surgery code. Ligation of internal hemorrhoids (2 or more groups) without imaging guidance. Rubber band ligation for multiple hemorrhoid sites.
What is the wRVU value for CPT 46946?
The work RVU for CPT 46946 is 4.39. This code is primarily used by Colorectal Surgery, Gastroenterology. It has a 90-day global period.
When is CPT 46946 used?
Performed for bleeding internal hemorrhoids in 2 or more anatomic locations. May require multiple sessions.
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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.