CPT code 46945 represents a surgical hemorrhoidectomy performed with techniques other than rubber band ligation to remove a single hemorrhoid or hemorrhoid group. This code captures a common definitive anorectal procedure for patients with symptomatic hemorrhoids that are not amenable to office-based or nonoperative treatments. Nationally, accurate reporting of 46945 affects surgical case mix, provider reimbursement, and utilization measurement for ambulatory and outpatient surgical services.

Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an explanation of the clinical context for 46945, typical sites of service, and how the code is used in procedural reporting. The publication provides benchmarks and utilization context where available, notes common billing modifiers, and summarizes policy and coverage considerations relevant to payers and facility billing. Clinical details explain when a hemorrhoidectomy would be selected over nonoperative approaches and the implications for coding when imaging guidance is not used.

This summary serves clinicians, coders, and policy analysts seeking concise, national-level information about CPT code 46945, its clinical role, and the billing context for ambulatory surgical and outpatient settings.