No office rate
Both include fistulectomy with internal and external hemorrhoid removal. Choose 46258 for one group and 46262 for two or more.
On this page
CMS RVU26D · Effective 2026-10-01
46262 Hemorrhoidectomy Medicare reimbursement rates in New Jersey
Reports excision of internal and external hemorrhoids in two or more groups together with fistulectomy, with fissurectomy included when performed. Compare 46262 office and facility rates across CMS payment localities in New Jersey.
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.
What does Medicare pay for 46262 in New Jersey?
New Jersey has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$628.89–$650.60
2 of 2 localities have a supported rate.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Anorectal surgery
About 46262: Multi-group hemorrhoidectomy with fistulectomy
Reports excision of internal and external hemorrhoids in two or more groups together with fistulectomy, with fissurectomy included when performed.
A surgeon removes internal and external hemorrhoidal tissue from at least two columns or groups and excises an associated anal fistula. Fissurectomy may also be performed as part of the service. This operation is typically performed by a colorectal or general surgeon in an operating room, commonly in a facility setting.
Select this code when the operative report supports removal of hemorrhoids from two or more groups and fistula excision during the same operation. The note should identify the treated hemorrhoidal groups and describe the fistula work; a hemorrhoid procedure without fistulectomy belongs to a different code. CMS includes the day-before preoperative visit and 90 days of related postoperative care in the global period. 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 multiple procedure reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery, and co-surgeon and team-surgery billing are not permitted.
CMS billing rules for 46262
- 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 RVU7.71 · 44%
- Practice expense (office) RVU7.83 · 44%
- Malpractice RVU2.06 · 12%
67
Medicare services in 2024 · #5173 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.
46262 compared with similar codes
Office rates for New Jersey, from the same CMS release.
No office rate
Both cover removal from two or more hemorrhoid groups. Choose 46262 when fistulectomy is also performed; 46260 describes the hemorrhoidectomy without it.
No office rate
Both cover two or more hemorrhoid groups, but 46261 includes fissurectomy while 46262 includes fistulectomy.
Compare 46262 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
2 of 2 payment localities
Northern Nj →
Office / nonfacility
Unavailable
Facility
$650.60
Rest Of New Jersey →
Office / nonfacility
Unavailable
Facility
$628.89
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46262 billing questions
How does this differ from 46258?
46262 is for hemorrhoidal tissue removed from two or more groups with fistulectomy. Code 46258 is the corresponding fistulectomy service for a single group.
When is 46260 a better choice?
Use 46260 for removal of internal and external hemorrhoids from two or more groups when the operation does not include fistulectomy. Code 46262 includes the fistula excision.
Can fissurectomy be part of this service?
Yes. Fissurectomy may be performed as part of the operation described by 46262; the code also includes fistulectomy.
Should modifier 50 be reported?
No. CMS identifies bilateral adjustment as inappropriate for this code.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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.
5,58646258,,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
5,59146275,,Remove anal fist inter,A,,5.28,12.62,,6.47,,0.98,18.88,12.73,0,090,0.09,0.81,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,59246280,,Remove anal fist complex,A,,6.23,7.06,NA,7.06,,1.16,14.45,14.45,0,090,0.09,0.81,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00