CPT 46258 Hemorrhoidectomy, internal and external, with fistulectomy
RVU Snapshot
- Work RVU: 6.25
- PE RVU: 6.48
- MP RVU: 1.67
- Total RVU: 14.40
- Estimated Medicare payment: $480.97
- Global period: 90
- Assistant surgeon indicator:
- Co-surgeon indicator:
- Team surgeon indicator:
- Bilateral indicator:
- Multiple procedure indicator:
Coding Note
Case Builder uses this same total-RVU Medicare payment estimate and applies modifier or MPPR adjustments only at the case level.
Source: CMS PFS RVU26C July 2026 non-QPP. Educational coding support only; confirm final billing against AMA CPT, CMS MPFS, NCCI, and payer policy.