CPT 46221 Hemorrhoidectomy, internal, by rubber band ligation(s)
RVU Snapshot
- Work RVU: 2.30
- PE RVU: 7.09
- MP RVU: 0.36
- Total RVU: 9.75
- Estimated Medicare payment: $325.66
- Global period: 10
- Assistant surgeon indicator: 1
- Co-surgeon indicator: 0
- Team surgeon indicator: 0
- Bilateral indicator: 0
- Multiple procedure indicator: 2
Coding Note
Case Builder uses this same total-RVU Medicare payment estimate and applies modifier or MPPR adjustments only at the case level.
Sources: RVU values from CMS PFS RVU26C July 2026 non-QPP. Indicator metadata from CMS PFS RVU26C July 2026 non-QPP. Educational coding support only; confirm final billing against AMA CPT, CMS MPFS, NCCI, and payer policy.