2010 Medicare Payments for 18 Hemorrhoidectomy Procedures in ASCs

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

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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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