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See a sample rate comparisonCPT 46250 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Hemorrhoid Surgery, Surgery To Remove One Or More Internal Or External Hemorrhoids. The Procedure May Include Repairing Nearby Tissue.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | None 59 - Distinct Procedural Service 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 46250 |
| Medicaid Fee Schedule | View Medicaid rates for 46250 |
National average reimbursement for CPT 46250 by major payers:
$567.89
$600.68
$655.92
$521.08
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CPT 46250
5 of 25 sample ratesHigher to lower in this preview
Oklahoma Outpatient Surgery Limited Partnership
$2,380.00Published rateMd Laser Surgery Center, LLC
Md Laser Surgery Center LLC
$1,228.00Published rateBergen Gastroenterology PC
Bergen Gastroenterology, P.C.
$1,127.00Published rateHill Country Surgery Center, LLC, Surgery Center Of Boerne
Hill Country Surgery Center LLC
$520.00Published rateRori Spray
Deaconess Hospital Inc
$375.33Published rate
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See a sample payer proposalCPT 46250 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 46250 code is part of the Surgery services used for Surgical Procedures on the Digestive System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 46250 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 46221-CPT | Moderate | Hemorrhoid Removal, Removal Of One Or More Hemorrhoids Inside The Anus By Cutting Off The Blood Supply To The Tissue. |
| 46230-CPT | Moderate | Remove Skin Tag Near Anus, Surgery To Remove One Or More Skin Tags (Tiny Hanging Growths) Or Bumps Near The Anus. |
| 46250-CPT | Moderate | Hemorrhoid Surgery, Surgery To Remove One Or More Internal Or External Hemorrhoids. The Procedure May Include Repairing Nearby Tissue. |
| 46255-CPT | Moderate | Hemorrhoid Surgery, Surgery To Remove One Or More Internal Or External Hemorrhoids. The Procedure May Include Repairing Nearby Tissue. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 46250. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 46250 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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