$216.54–$241.35
Use 46083 for incision and drainage of a thrombosed external hemorrhoid; use 46320 when the thrombosed hemorrhoid is excised.
On this page
CMS RVU26D · Effective 2026-10-01
46083 Hemorrhoid drainage Medicare reimbursement rates in Texas
Reports incision and drainage of an acutely thrombosed external hemorrhoid, typically to relieve pain by opening the lesion and evacuating its clot. Compare 46083 office and facility rates across CMS payment localities in Texas.
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 46083 in Texas?
Texas has 8 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 8 payment areas shown below, using the same CMS release.
Office / nonfacility
$209.58–$234.29
8 of 8 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.
Where 46083 pays more and less in Texas
8 payment localities
$209.58 to $234.29
Anorectal surgery
About 46083: Incision and drainage of thrombosed hemorrhoid
Reports incision and drainage of an acutely thrombosed external hemorrhoid, typically to relieve pain by opening the lesion and evacuating its clot.
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.
CMS billing rules for 46083
- Global period
- Minor procedure with a 10-day global period: related postoperative visits for 10 days 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 RVU1.41 · 21%
- Practice expense (office) RVU5.06 · 75%
- Malpractice RVU0.28 · 4%
1.3K
Medicare services in 2024 · #2786 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.
46083 compared with similar codes
Office rates for Texas, from the same CMS release.
$246.95–$279.06
46050 treats a superficial perianal abscess. Use 46083 for an acutely thrombosed external hemorrhoid, not an abscess.
$501.42–$555.31
46250 represents external hemorrhoidectomy involving two or more columns or groups; 46083 is for incision and drainage of a thrombosed external hemorrhoid.
Compare 46083 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.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | Office $234.29 | Facility $109.54 |
| Beaumont | Office $209.58 | Facility $102.29 |
| Brazoria | Office $222.25 | Facility $105.41 |
| Dallas | Office $223.88 | Facility $106.44 |
| Fort Worth | Office $222.31 | Facility $106.05 |
| Galveston | Office $223.04 | Facility $105.96 |
| Houston | Office $228.17 | Facility $111.09 |
| Rest Of Texas | Office $215.93 | Facility $104.04 |
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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 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.
5,57546060,,I&d ischiorectal/ntrmrl absc,A,,6.21,7.31,NA,7.31,,1.20,14.72,14.72,0,090,0.09,0.81,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,57646070,,Incision anal septum infant,A,,2.72,5.23,NA,5.23,,0.72,8.67,8.67,0,090,0.09,0.81,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,57746080,,Sphnctrotmy anal div sphnctr,A,,2.46,6.50,,1.54,,0.49,9.45,4.49,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,57846083,,Inc thrombosed hroid xtrnl,A,,1.41,5.06,,1.53,,0.28,6.75,3.22,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,57946200,,Removal of anal fissure,A,,3.50,11.79,,6.31,,0.60,15.89,10.41,0,090,0.09,0.81,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,58046220,,Excise anal ext tag/papilla,A,,1.57,6.39,,1.72,,0.29,8.25,3.58,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,58146221,,Ligation of hemorrhoid(s),A,,2.30,7.09,,3.24,,0.36,9.75,5.90,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00