CPT code 46945: Hemorrhoid ligation, one column, no imaging2026 Medicare rate & RVUs in Queens, NY

In Queens, NY, Medicare pays $405.34 for 46945 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 46945 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 46945 covers

This service treats one internal hemorrhoid column or group by ligation using a method other than rubber-band ligation. A surgeon, commonly a colorectal or general surgeon, performs the procedure in an operating room or another procedural setting, typically using visualization of the anal canal. The code distinguishes a single column or group from treatment of two or more columns and from procedures that destroy or reposition hemorrhoidal tissue.

Report 46945 when the operative documentation supports ligation of one internal hemorrhoid column or group without imaging guidance. Documentation should identify the treated hemorrhoid and describe the ligation technique; use the multiple-column code when two or more columns are treated. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. 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 50% reduction. Modifier 50 is inappropriate for this anatomy-specific service. Medicare does not pay an assistant at surgery; co-surgeons and team surgery 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 Queens, NY compares for 46945

Across 109 of 109 payment localities, the facility rate for 46945 runs from $310.80 in Arkansas to $446.56 in San Benito County, CA. Queens, NY pays $405.34. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

46945 rates by state

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

See 46945 in every payment locality

How the 46945 rate is calculated

Each of 46945’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 46945

46945 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 46945

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

How 46945 has changed in Queens, NY

Price 46945 for an earlier date of service

Where the Queens, NY rate applies

Queens, NY is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in New York. Some span more than one payment area; confirm with the service ZIP.

• 46945 in New York · multiple payment areas

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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