CPT code 46947: Hemorrhoidopexy, stapled technique2026 Medicare rate & RVUs in Ohio

In Ohio, Medicare pays $366.07 for 46947 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 46947 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 46947 covers

Stapled hemorrhoidopexy treats prolapsing internal hemorrhoidal tissue by removing a circumferential ring of rectal mucosa and submucosa above the hemorrhoids with a circular stapling device, lifting the prolapsed tissue toward its anatomic position. A colorectal or general surgeon typically performs the operation in an operating-room setting for symptomatic internal hemorrhoidal prolapse. This code describes the stapled approach, rather than banding or destruction of individual hemorrhoids.

Report 46947 when the operative technique is stapled hemorrhoidopexy; selection is based on the procedure, not the number of hemorrhoidal columns. The operative note should identify the prolapsing internal hemorrhoids and document the stapled technique and relevant findings. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and the others are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this code, 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 Ohio compares for 46947

Across 109 of 109 payment localities, the facility rate for 46947 runs from $337.49 in Arkansas to $462.05 in Alaska. Ohio pays $366.07. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

46947 rates by state

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

See 46947 in every payment locality

How the 46947 rate is calculated

Each of 46947’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 46947

46947 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 46947

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

How 46947 has changed in Ohio

Price 46947 for an earlier date of service

Where the Ohio rate applies

Ohio is a Medicare payment area, not a city. Our Census mapping connects it to 1265 cities and communities in Ohio. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Ada
• Adamsville
• Addyston
• Adelphi
• Adena
• Ai
• Akron

Browse all communities in Ohio

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