CPT code 46948: Hemorrhoid surgery, doppler-guided, two or more columns2026 Medicare rate & RVUs in Delaware

In Delaware, Medicare pays $440.06 for 46948 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 46948 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 46948 covers

The surgeon passes a Doppler probe through the anus to locate arterial branches supplying internal hemorrhoids, then places sutures to reduce blood flow. This technique treats two or more internal hemorrhoid columns or groups, often in patients with bleeding or prolapse. Colorectal and general surgeons typically perform it in an operating room or ambulatory surgery center.

Report this code for the transanal dearterialization technique with ultrasound guidance, not for hemorrhoid ligation or stapling performed by another method. The operative note should identify the technique and document treatment of at least two internal columns or groups. Guidance is part of the service. Medicare includes the day-before preoperative visit and 90 days of related postoperative care in the 90-day global period. When other procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. 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 Delaware compares for 46948

Across 109 of 109 payment localities, the facility rate for 46948 runs from $395.79 in Arkansas to $549.31 in San Benito County, CA. Delaware pays $440.06. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

46948 rates by state

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

See 46948 in every payment locality

How the 46948 rate is calculated

Each of 46948’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 46948

46948 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 46948

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

How 46948 has changed in Delaware

Price 46948 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

• Arden
• Ardencroft
• Ardentown
• Bear
• Bellefonte
• Bethany Beach
• Bethel
• Blades

Browse all communities in Delaware

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