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See a sample rate comparisonCPT 46260 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 24 - Ambulatory Surgical Center |
| Common Modifiers | None SG - Scene to Hospital ESRD facility GC - Service performed by resident under supervision |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 46260 |
| Medicaid Fee Schedule | View Medicaid rates for 46260 |
National average reimbursement for CPT 46260 by major payers:
$589.97
$626.69
$680.24
$775.15
Compare published rates across providers.
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CPT 46260
5 of 25 sample ratesHigher to lower in this preview
Riverview Surgery Center LLC
$3,680.00Published rateMercy Hospitals East Communities, Mercy Outpatientsurgery Center Washington
Mercy Hospitals East Communities
$2,402.00Published rateConnecticut Surgery Center Limited Partnership
$1,600.00Published rateOrlando Fl Endoscopy Asc LLC, Citrus Ambulatory Surgery Center
Orlando Fl Endoscopy Asc LLC
$889.00Published rateNewport Surgical Partners LLC, Newport Plaza Surgical Center
$760.00Published rate
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See a sample payer proposalCPT 46260 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 46260 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 46260 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 |
|---|---|---|
| 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. |
| 46260-CPT | Moderate | Hemorrhoid Surgery, Surgery To Remove One Or More Internal Or External Hemorrhoids. The Procedure May Include Repairing Nearby Tissue. |
| 46262-CPT | Moderate | Remove In Ex Hem Grps W Fist, Hemorrhoidectomy Internal And External 2 Or More Columns Groups With Fistulectomy Including Fissurectomy When Performed |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 46260. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 46260 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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