$561.64
Use 46250 when the operation removes external hemorrhoidal groups only. Use 46260 when both internal and external tissue are removed from two or more groups.
On this page
CMS RVU26D · Effective 2026-10-01
46260 in Redding
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$483.31
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Colorectal surgery
About 46260: Internal and external hemorrhoidectomy, multiple groups
Reports surgical removal of internal and external hemorrhoids involving two or more groups, when both tissue types are treated during the procedure.
This code describes operative removal of hemorrhoidal tissue involving both the internal and external components in at least two groups. It is typically performed by a colorectal or general surgeon, often in an operating room, for symptomatic hemorrhoids selected for surgical treatment. The operative report should make clear that both internal and external hemorrhoidal tissue were removed and document the number of groups treated.
Choose this code based on the tissue treated and the number of groups, not simply the number of individual hemorrhoids. 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% multiple procedure reduction. Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery; co-surgeons and team surgery are not permitted.
CMS billing rules for 46260
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU6.56 · 46%
- Practice expense (office) RVU6.46 · 45%
- Malpractice RVU1.34 · 9%
7.6K
Medicare services in 2024 · #1613 by national volume
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.
46260 compared with similar codes
Office rates for Redding, from the same CMS release.
$606.81
Both codes cover internal and external hemorrhoidal tissue, but 46255 is for one group; 46260 is for two or more.
No office rate
46261 includes a fissurectomy with removal of internal and external hemorrhoids from two or more groups. Without that accompanying fissurectomy, the multiple-group procedure is 46260.
$344.12
46221 reports ligation of hemorrhoids rather than excisional removal. Select according to the treatment actually performed.
The same code, a different location
How does Redding compare?
46260 across payment areas
Same release and payment basis · bars start at $0
Redding · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
No comparable rate is available in this setting.
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Madera
California · 46260
Office
Unavailable
Facility
$483.31
No comparable office rate is available.
Merced
California · 46260
Office
Unavailable
Facility
$483.31
No comparable office rate is available.
Modesto
California · 46260
Office
Unavailable
Facility
$483.31
No comparable office rate is available.
Napa
California · 46260
Office
Unavailable
Facility
$540.04
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 46260
Office
Unavailable
Facility
$508.17
No comparable office rate is available.
Rest Of California
California · 46260
Office
Unavailable
Facility
$483.31
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 46260
Office
Unavailable
Facility
$497.72
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 46260
Office
Unavailable
Facility
$501.93
No comparable office rate is available.
Salinas
California · 46260
Office
Unavailable
Facility
$499.97
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 46260
Office
Unavailable
Facility
$508.00
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 46260
Office
Unavailable
Facility
$564.70
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 46260
Office
Unavailable
Facility
$563.18
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 46260
Office
Unavailable
Facility
$578.34
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 46260
Office
Unavailable
Facility
$572.12
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 46260
Office
Unavailable
Facility
$492.59
No comparable office rate is available.
Santa Cruz-Watsonville
California · 46260
Office
Unavailable
Facility
$509.86
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 46260
Office
Unavailable
Facility
$500.82
No comparable office rate is available.
Santa Rosa-Petaluma
California · 46260
Office
Unavailable
Facility
$514.64
No comparable office rate is available.
Stockton
California · 46260
Office
Unavailable
Facility
$483.31
No comparable office rate is available.
Vallejo
California · 46260
Office
Unavailable
Facility
$537.84
No comparable office rate is available.
Visalia
California · 46260
Office
Unavailable
Facility
$483.31
No comparable office rate is available.
Yuba City
California · 46260
Office
Unavailable
Facility
$483.31
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 46260
Office
Unavailable
Facility
$534.93
No comparable office rate is available.
Miami
Florida · 46260
Office
Unavailable
Facility
$556.92
No comparable office rate is available.
Chicago
Illinois · 46260
Office
Unavailable
Facility
$540.21
No comparable office rate is available.
Manhattan
New York · 46260
Office
Unavailable
Facility
$554.84
No comparable office rate is available.
Alaska*
Alaska · 46260
Office
Unavailable
Facility
$583.12
No comparable office rate is available.
Alabama
Alabama · 46260
Office
Unavailable
Facility
$433.24
No comparable office rate is available.
Arkansas
Arkansas · 46260
Office
Unavailable
Facility
$427.51
No comparable office rate is available.
Arizona
Arizona · 46260
Office
Unavailable
Facility
$466.50
No comparable office rate is available.
Colorado
Colorado · 46260
Office
Unavailable
Facility
$486.27
No comparable office rate is available.
Connecticut
Connecticut · 46260
Office
Unavailable
Facility
$510.03
No comparable office rate is available.
Delaware
Delaware · 46260
Office
Unavailable
Facility
$473.62
No comparable office rate is available.
Fort Lauderdale
Florida · 46260
Office
Unavailable
Facility
$518.61
No comparable office rate is available.
Rest Of Florida
Florida · 46260
Office
Unavailable
Facility
$492.66
No comparable office rate is available.
Atlanta
Georgia · 46260
Office
Unavailable
Facility
$492.74
No comparable office rate is available.
Rest Of Georgia
Georgia · 46260
Office
Unavailable
Facility
$464.93
No comparable office rate is available.
Hawaii, Guam
Hawaii · 46260
Office
Unavailable
Facility
$490.35
No comparable office rate is available.
Iowa
Iowa · 46260
Office
Unavailable
Facility
$434.31
No comparable office rate is available.
Idaho
Idaho · 46260
Office
Unavailable
Facility
$438.79
No comparable office rate is available.
East St. Louis
Illinois · 46260
Office
Unavailable
Facility
$507.76
No comparable office rate is available.
Rest Of Illinois
Illinois · 46260
Office
Unavailable
Facility
$486.06
No comparable office rate is available.
Suburban Chicago
Illinois · 46260
Office
Unavailable
Facility
$521.55
No comparable office rate is available.
Indiana
Indiana · 46260
Office
Unavailable
Facility
$440.88
No comparable office rate is available.
Kansas
Kansas · 46260
Office
Unavailable
Facility
$436.72
No comparable office rate is available.
Kentucky
Kentucky · 46260
Office
Unavailable
Facility
$451.88
No comparable office rate is available.
New Orleans
Louisiana · 46260
Office
Unavailable
Facility
$472.99
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 46260
Office
Unavailable
Facility
$452.94
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 46260
Office
Unavailable
Facility
$525.56
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 46260
Office
Unavailable
Facility
$485.49
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 46260
Office
Unavailable
Facility
$509.50
No comparable office rate is available.
Rest Of Maryland
Maryland · 46260
Office
Unavailable
Facility
$480.75
No comparable office rate is available.
Rest Of Maine
Maine · 46260
Office
Unavailable
Facility
$445.46
No comparable office rate is available.
Southern Maine
Maine · 46260
Office
Unavailable
Facility
$461.18
No comparable office rate is available.
Detroit
Michigan · 46260
Office
Unavailable
Facility
$502.79
No comparable office rate is available.
Rest Of Michigan
Michigan · 46260
Office
Unavailable
Facility
$466.64
No comparable office rate is available.
Minnesota
Minnesota · 46260
Office
Unavailable
Facility
$454.39
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 46260
Office
Unavailable
Facility
$465.45
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 46260
Office
Unavailable
Facility
$469.37
No comparable office rate is available.
Rest Of Missouri
Missouri · 46260
Office
Unavailable
Facility
$448.70
No comparable office rate is available.
Mississippi
Mississippi · 46260
Office
Unavailable
Facility
$437.96
No comparable office rate is available.
Montana**
Montana · 46260
Office
Unavailable
Facility
$479.55
No comparable office rate is available.
North Carolina
North Carolina · 46260
Office
Unavailable
Facility
$449.02
No comparable office rate is available.
North Dakota**
North Dakota · 46260
Office
Unavailable
Facility
$453.05
No comparable office rate is available.
Nebraska
Nebraska · 46260
Office
Unavailable
Facility
$435.18
No comparable office rate is available.
New Hampshire
New Hampshire · 46260
Office
Unavailable
Facility
$482.89
No comparable office rate is available.
Northern Nj
New Jersey · 46260
Office
Unavailable
Facility
$531.01
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 46260
Office
Unavailable
Facility
$512.59
No comparable office rate is available.
New Mexico
New Mexico · 46260
Office
Unavailable
Facility
$470.72
No comparable office rate is available.
Nevada**
Nevada · 46260
Office
Unavailable
Facility
$472.38
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 46260
Office
Unavailable
Facility
$572.80
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 46260
Office
Unavailable
Facility
$519.39
No comparable office rate is available.
Queens
New York · 46260
Office
Unavailable
Facility
$552.71
No comparable office rate is available.
Rest Of New York
New York · 46260
Office
Unavailable
Facility
$455.56
No comparable office rate is available.
Ohio
Ohio · 46260
Office
Unavailable
Facility
$461.22
No comparable office rate is available.
Oklahoma
Oklahoma · 46260
Office
Unavailable
Facility
$446.57
No comparable office rate is available.
Portland
Oregon · 46260
Office
Unavailable
Facility
$495.64
No comparable office rate is available.
Rest Of Oregon
Oregon · 46260
Office
Unavailable
Facility
$465.48
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 46260
Office
Unavailable
Facility
$501.07
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 46260
Office
Unavailable
Facility
$459.48
No comparable office rate is available.
Puerto Rico
Puerto Rico · 46260
Office
Unavailable
Facility
$481.34
No comparable office rate is available.
Rhode Island
Rhode Island · 46260
Office
Unavailable
Facility
$486.09
No comparable office rate is available.
South Carolina
South Carolina · 46260
Office
Unavailable
Facility
$456.52
No comparable office rate is available.
South Dakota**
South Dakota · 46260
Office
Unavailable
Facility
$449.92
No comparable office rate is available.
Tennessee
Tennessee · 46260
Office
Unavailable
Facility
$439.28
No comparable office rate is available.
Austin
Texas · 46260
Office
Unavailable
Facility
$487.49
No comparable office rate is available.
Beaumont
Texas · 46260
Office
Unavailable
Facility
$457.04
No comparable office rate is available.
Brazoria
Texas · 46260
Office
Unavailable
Facility
$469.60
No comparable office rate is available.
Dallas
Texas · 46260
Office
Unavailable
Facility
$474.39
No comparable office rate is available.
Fort Worth
Texas · 46260
Office
Unavailable
Facility
$472.81
No comparable office rate is available.
Galveston
Texas · 46260
Office
Unavailable
Facility
$472.18
No comparable office rate is available.
Houston
Texas · 46260
Office
Unavailable
Facility
$496.71
No comparable office rate is available.
Rest Of Texas
Texas · 46260
Office
Unavailable
Facility
$464.29
No comparable office rate is available.
Utah
Utah · 46260
Office
Unavailable
Facility
$462.13
No comparable office rate is available.
Virginia
Virginia · 46260
Office
Unavailable
Facility
$462.81
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 46260
Office
Unavailable
Facility
$481.34
No comparable office rate is available.
Vermont
Vermont · 46260
Office
Unavailable
Facility
$455.37
No comparable office rate is available.
Rest Of Washington
Washington · 46260
Office
Unavailable
Facility
$483.22
No comparable office rate is available.
Seattle (King Cnty)
Washington · 46260
Office
Unavailable
Facility
$531.38
No comparable office rate is available.
Wisconsin
Wisconsin · 46260
Office
Unavailable
Facility
$439.60
No comparable office rate is available.
West Virginia
West Virginia · 46260
Office
Unavailable
Facility
$470.66
No comparable office rate is available.
Wyoming**
Wyoming · 46260
Office
Unavailable
Facility
$468.00
No comparable office rate is available.
See how rates vary across the country
46260 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Where does this rate apply?
Redding is a Medicare payment area. Our Census mapping connects it to 32 cities and communities in California, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 46260 in Redding. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$531.64
$483.31 × 110% = $531.64
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 46260 in Redding.
PPRRVU2026_Oct_nonQPP.csv
5,587
- Code
- 46260
- Physician work
- 6.56
- Practice expense
- 6.46
- Malpractice
- 1.34
GPCI2026.csv
19
- Locality
- Redding
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.56 | × 1.017 | 6.6715 |
| Practice expense | 6.46 | × 1.096 | 7.0802 |
| Malpractice | 1.34 | × 0.536 | 0.7182 |
| Total RVUs | 14.4699 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Redding$483.31
Open 46260 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.56 | 1.017 |
| Practice expense | 6.46 | 1.096 |
| Malpractice | 1.34 | 0.536 |
(6.56 × 1.017 + 6.46 × 1.096 + 1.34 × 0.536) × $33.4009 = $483.31
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
46260 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $483.31 | RVU26D |
| 2026-07-01 | Not available in this setting | $483.31 | RVU26C |
| 2026-04-01 | Not available in this setting | $483.31 | RVU26B |
| 2026-01-01 | Not available in this setting | $483.31 | RVU26A |
| 2025-10-01 | Not available in this setting | $479.40 | RVU25D |
| 2025-07-01 | Not available in this setting | $479.40 | RVU25C |
| 2025-04-01 | Not available in this setting | $479.40 | RVU25B |
| 2025-01-01 | Not available in this setting | $479.40 | RVU25A |
46260 billing questions
How does this differ from code 46255?
Code 46255 applies when both internal and external hemorrhoidal tissue are removed from one group. Use 46260 when two or more groups are treated.
When should 46250 be considered instead?
Code 46250 describes removal of external hemorrhoidal groups only. This code requires removal of both internal and external hemorrhoidal tissue.
What documentation supports reporting 46260?
The operative report should identify removal of internal and external hemorrhoidal tissue and document treatment of at least two groups. Record any associated fissure or fistula procedure when performed.
Can modifier 50 be used when hemorrhoids are on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code; modifier 50 should not be used.
How are other procedures in the same session paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50% when performed in the same session.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
5,58446255,,Remove int/ext hem 1 group,A,,4.84,11.64,,4.75,,0.91,17.39,10.50,0,090,0.09,0.81,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,58546257,,Remove in/ex hem grp & fiss,A,,5.62,6.02,NA,6.02,,0.81,12.45,12.45,0,090,0.09,0.81,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,58646258,,Remove in/ex hem grp w/fistu,A,,6.25,6.48,NA,6.48,,1.67,14.40,14.40,0,090,0.09,0.81,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,58746260,,Remove in/ex hem groups 2+,A,,6.56,6.46,NA,6.46,,1.34,14.36,14.36,0,090,0.09,0.81,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,58846261,,Remove in/ex hem grps & fiss,A,,7.57,6.42,NA,6.42,,1.44,15.43,15.43,0,090,0.09,0.81,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,58946262,,Remove in/ex hem grps w/fist,A,,7.71,7.83,NA,7.83,,2.06,17.60,17.60,0,090,0.09,0.81,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,59046270,,Remove anal fist subq,A,,4.80,12.17,,6.43,,0.99,17.96,12.22,0,090,0.09,0.81,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1601112,CA,60,MODESTO,1.017,1.096,0.536
1701112,CA,51,NAPA,1.063,1.318,0.508
1801182,CA,17,OXNARD-THOUSAND OAKS-VENTURA,1.028,1.182,0.623
1901112,CA,61,REDDING,1.017,1.096,0.536
2001112,CA,62,RIVERSIDE-SAN BERNARDINO-ONTARIO,1.018,1.096,0.853
2101112,CA,63,SACRAMENTO-ROSEVILLE-FOLSOM,1.036,1.163,0.536
2201112,CA,64,SALINAS,1.031,1.159,0.536