Billing code 46083: Hemorrhoid drainageMedicare rate & RVUs in Alabama
Reports incision and drainage of an acutely thrombosed external hemorrhoid, typically to relieve pain by opening the lesion and evacuating its clot.
Medicare pays $200.27 for 46083 in the office in Alabama (Alabama). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 46083 covers
This service treats an acutely painful thrombosed external hemorrhoid by incising the lesion and evacuating the thrombus. It is commonly performed by a colorectal or general surgeon, and may also be performed by another qualified clinician in an office or outpatient setting. The target is the thrombosed external hemorrhoid itself, not a perianal abscess or a more extensive hemorrhoid burden requiring hemorrhoidectomy.
Report the service when the clinician documents the thrombosed external lesion and its incision and drainage; do not select it for excision of the thrombosed hemorrhoid, which is represented by a different code. Medicare assigns a 10-day global period, so related postoperative visits during that period are included. 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 service. Medicare does not pay for 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.
46083 in Alabama
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $200.27 | $97.10 |
How the 46083 rate is calculated
Each of 46083’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.
How the rate is built · 46083
RVUs × geographic indexes × conversion factor
Work1.41
1.41 RVUs× 1.000 GPCI
Practice expense5.06
5.06 RVUs× 1.000 GPCI
Malpractice0.28
0.28 RVUs× 1.000 GPCI
Adjusted RVUs
6.7500
Conversion factor
$33.4009
Medicare rate
$225.46
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 46083
46083 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 46083
Hemorrhoid drainage
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 010 | Minor procedure: the day of the procedure plus 10 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.80/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 46083
Hemorrhoid drainage
10-day global period ends
Oct 11, 2026
Covers Oct 1, 2026 through Oct 11, 2026 (11 days).
Visit on Oct 31, 2026
After the global period ends: visits and procedures are billed normally.
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
46083 without 51 · national office
$225.46
Hemorrhoid drainage
46083-51 · Second procedure: 50%
$112.73
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
46083 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 46320Hemorrhoid excision
- Use 46083 for incision and drainage of a thrombosed external hemorrhoid; use 46320 when the thrombosed hemorrhoid is excised.
- 46050Perianal abscess drainage
- 46050 treats a superficial perianal abscess. Use 46083 for an acutely thrombosed external hemorrhoid, not an abscess.
- 46250Hemorrhoidectomy
- 46250 represents external hemorrhoidectomy involving two or more columns or groups; 46083 is for incision and drainage of a thrombosed external hemorrhoid.
46083 billing questions
How does this differ from excision of a thrombosed external hemorrhoid?
This code describes incision and drainage of the thrombosed lesion. Report 46320 when the clinician excises the thrombosed external hemorrhoid.
Is a separate code reported for evacuating the clot?
Clot evacuation is part of the incision-and-drainage service described by this code; it is not a separate service.
Can modifier 50 be used for lesions on both sides?
No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this service.
What postoperative care is included?
Related postoperative visits for 10 days after the procedure are included in its global period.
Can an assistant or co-surgeon be reported?
Medicare does not pay for 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 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
Show the CMS file lines behind this rate
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