CPT code 46262: Hemorrhoidectomy, two or more groups, with fistulectomy2026 Medicare rate & RVUs in Puerto Rico

In Puerto Rico, Medicare pays $589.70 for 46262 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 46262 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 46262 covers

A surgeon removes internal and external hemorrhoidal tissue from at least two columns or groups and excises an associated anal fistula. Fissurectomy may also be performed as part of the service. This operation is typically performed by a colorectal or general surgeon in an operating room, commonly in a facility setting.

Select this code when the operative report supports removal of hemorrhoids from two or more groups and fistula excision during the same operation. The note should identify the treated hemorrhoidal groups and describe the fistula work; a hemorrhoid procedure without fistulectomy belongs to a different code. CMS includes the day-before preoperative visit and 90 days of related postoperative care in the global period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery, and co-surgeon and team-surgery billing are not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Puerto Rico compares for 46262

Across 109 of 109 payment localities, the facility rate for 46262 runs from $517.61 in Arkansas to $712.73 in NYC suburbs and Long Island, NY. Puerto Rico pays $589.70. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

46262 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 46262 in every payment locality

How the 46262 rate is calculated

Each of 46262’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 46262

46262 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

Codes related to 46262

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 46262 has changed in Puerto Rico

Price 46262 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

• Aceitunas
• Adjuntas
• Aguada
• Aguadilla
• Aguas Buenas
• Aguas Claras
• Aguilita
• Aibonito

Browse all communities in Puerto Rico

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates