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See a sample rate comparisonCPT 46320 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.
Removal Of Hemorrhoid Clot, Removal Of External Hemorrhoid With Blood Clot (Thrombosed Hemorrhoid)
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 46320 |
| Medicaid Fee Schedule | View Medicaid rates for 46320 |
National average reimbursement for CPT 46320 by major payers:
$235.19
$246.42
$282.79
$198.38
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CPT 46320
5 of 25 sample ratesHigher to lower in this preview
Hospital For Special Surgery West Side Ambulatory Surgery Center, LLC, Hss West Side Asc, LLC
$4,530.00Published rateOrthopaedic Surgery Center Of San Antonio Lp, Foundation Surgery Affiliate Of San Antonio Lp
Orthopaedic Surgery Center Of San Antonio Lp
$1,535.00Published rateUsc Ambulatory Surgical Center Prof LLC
$1,200.00Published rateEye Surgery Center Of North Dallas
$775.00Published rateFairlawn Surgery Center, LLC
$386.00Published rate
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See a sample payer proposalCPT 46320 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 46320 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 46320 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 |
|---|---|---|
| 46070-CPT | Moderate | Inc Anal Septum Infant |
| 46083-CPT | Moderate | Inc Thrombosed Hemorrhoid External |
| 46200-CPT | Moderate | Surgery Anal Tissue Repair, Surgery To Repair A Fissure (Deep Crack) In The Tissues. The Procedure May Include Removing A Portion Of The Sphincter Muscle. |
| 46320-CPT | Moderate | Removal Of Hemorrhoid Clot, Removal Of External Hemorrhoid With Blood Clot (Thrombosed Hemorrhoid) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 46320. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 46320 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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