46948 Int hrhc tranal dartlzj 2+
Also known as: transanal hemorrhoid artery ligation, THAL, dartolization
Transanal (through-the-anus) dartolization ligation of internal hemorrhoids in 2 or more groups. Denudation and artery ablation technique.
In Plain Language
tying off hemorrhoid blood vessels from inside the anus; artery ligation for hemorrhoids
Clinical Context
Minimally invasive technique using ultrasound or Doppler guidance to identify and ligate hemorrhoidal arteries.
RVU Breakdown
| Work RVU | 5.43 |
| Total RVU | 5.43 |
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 5.43, this code ranks in the 37th percentile among Surgery codes — 1.5x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 46948?
CPT 46948 (Int hrhc tranal dartlzj 2+) is a Surgery code. Transanal (through-the-anus) dartolization ligation of internal hemorrhoids in 2 or more groups. Denudation and artery ablation technique.
What is the wRVU value for CPT 46948?
The work RVU for CPT 46948 is 5.43. This code is primarily used by Colorectal Surgery. It has a 90-day global period.
When is CPT 46948 used?
Minimally invasive technique using ultrasound or Doppler guidance to identify and ligate hemorrhoidal arteries.
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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.