2010 Medicare Payments for 18 Hemorrhoidectomy Procedures in ASCs

Here are the 2010 Medicare payments for 18 hemorrhoidectomy procedures in the ASC setting.


1. CPT 45990 (Anorectal exam, surgical, requiring anesthesia [general, spinal, or epidural], diagnostic) — $794.83

2. CPT 46083 (Incision of thrombosed hemorrhoid, external) — $80.90

3. CPT 46220 (Excision of single external papilla or tag, anus) — $503.70

4. CPT 46221 (Hemorrhoidectomy, internal, by rubber band ligation[s]) — $105.39

5. CPT 46230 (Excision of multiple external papillae or tags, anus) — $799.83

6. CPT 46250 (Hemorrhoidectomy, external, two or more columns/groups) — $842.17

7. CPT 46255 (Hemorrhoidectomy, internal and external, single column/group) — $842.17

8. CPT 46257 (Hemorrhoidectomy, internal and external, simple; with fissurectomy) — $842.17

9. CPT 46258 (Hemorrhoidectomy, internal and external, single column/group; with fistulectomy, including fissurectomy, when performed) — $842.17

10. CPT 46260 (Hemorrhoidectomy, internal and external, two or more columns/groups) — $842.17

11. CPT 46261 (Hemorrhoidectomy, internal and external, complex or extensive; with fissurectomy) — $870.87

12. CPT 46262 (Hemorrhoidectomy, internal and external, two of more columns/groups; with fistulectomy, including fissurectomy, when performed) — $870.87

13. CPT 46500 (Injection of sclerosing solution, hemorrhoids) — $99.42

14. CPT 46700 (Anoplasty, plastic operation for stricture, adult) — $842.17

15. CPT 46706 (Repair of anal fistula with fibrin glue) — $1,046.52

16. CPT 46707 (Repair of anorectal fistula with plug [e.g., Porcine small intestine submucosa]) — $1,289.18

17. CPT 46945 (Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid column/group) — $132.09

18. CPT 46946 (Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid column/group; two or more hemorrhoid columns/groups) — $503.70

CPT copyright 2009 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.


Source: Federal Register, Vol. 74, No. 223 (pdf).

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