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See a sample rate comparisonHealthcare 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.
| 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 UB 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 46948 |
| Medicaid Fee Schedule | View Medicaid rates for 46948 |
National average reimbursement for CPT 46948 by major payers:

$602.91

$608.82

$613.51

$737.45
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The Surgery Center, LLC
Village Surgicenter Limited Partnership
Stuart Cardon Dba Cascade Foot &
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Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
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See a sample payer proposalCPT 46948 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 46948 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 46948 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 |
|---|---|---|
| 46945-CPT | Moderate | Int Hrhc Lig 1 Hroid W O Img, Hemorrhoidectomy Internal By Ligation Other Than Rubber Band Single Hemorrhoid Column Group Without Imaging Guidance |
| 46946-CPT | Moderate | Int Hrhc Lig 2 Hroid W O Img, Hemorrhoidectomy Internal By Ligation Other Than Rubber Band 2 Or More Hemorrhoid Columns Groups Without Imaging Guidance |
| 46947-CPT | Moderate | Hemorrhoidopexy (Eg For Prolapsi Intern Hemorrhoids) By Stapl, Hemorrhoidopexy (Eg For Prolapsing Internal Hemorrhoids) By Stapling |
| 46948-CPT | Moderate | Int Hrhc Tranal Dartlzj 2, Hemorrhoidectomy Internal By Transanal Hemorrhoidal Dearterialization 2 Or More Hemorrhoid Columns Groups Including Ultrasound Guidance With Mucopexy 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 46948. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 46948 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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