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CPT 46946: Excision of Two or More Hemorrhoids (Non-Rubber Band)
CPT code 46946 denotes excision of two or more hemorrhoids or hemorrhoidal groups using methods other than rubber band ligation. Nationally relevant because hemorrhoidal disease is common and procedural treatment patterns influence outpatient surgical utilization, payment variability, and care setting decisions. This code captures definitive procedural management for patients with multiple symptomatic hemorrhoids when non-band methods are employed.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise review of clinical context, typical sites of service, and common billing practices tied to CPT code 46946.
The publication provides benchmarks and comparative context for payment and utilization where available, highlights policy or coding considerations that affect reimbursement and claim adjudication, and outlines providers’ coding and documentation implications associated with performing multi-hemorrhoid excision. Data not available in the input is noted where applicable.
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Billing Code Overview
CPT code 46946 describes a procedure in which the provider removes two or more hemorrhoids or hemorrhoidal groups using techniques other than the rubber band method. Hemorrhoids are small, swollen vascular structures in the rectal or anal canal that can cause bleeding, pain, or prolapse when symptomatic.
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Service type: Surgical removal of multiple hemorrhoids using non–rubber band techniques.
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Typical site of service: Ambulatory surgical center or hospital outpatient department; may also occur in an office setting when procedural capability permits.