Reimbursement Guidelines for IRC Hemorrhoid Treatment
Infrared Coagulation of Hemorrhoids is a reimbursable procedure under Medicare and most private insurers. While no specific code exists for IRC, most physicians utilize CPT code 46934, “Destruction of Hemorrhoids Any method”. Physicians usually limit treatments to one quadrant per session, with 3-6 sessions overall.
The following data was gathered directly from the AMA. Medicare payments may vary within states based upon geographic area.
This fee schedule applies to Medicare payments only and may not reflect the true cost of the services provided. Private sector fees will vary. For more information about the Medicare payment system, see RBRVS: Resource-Based Relative Value Scale.
|
State
|
Non-Facility
|
Facility
|
State
|
Non-Facility
|
Facility
|
|
AK
|
371
|
279
|
MT
|
309
|
239
|
|
AL
|
306
|
237
|
NC
|
318
|
244
|
|
AR
|
299
|
237
|
ND
|
307
|
237
|
|
AZ
|
334
|
255
|
NE
|
306
|
236
|
|
CA
|
371
|
279
|
NH
|
341
|
259
|
|
CO
|
335
|
254
|
NJ
|
384
|
287
|
|
CT
|
373
|
279
|
NM
|
315
|
243
|
|
DC
|
382
|
285
|
NV
|
346
|
262
|
|
DE
|
342
|
260
|
NY
|
415
|
309
|
|
FL
|
329
|
253
|
OH
|
324
|
249
|
|
GA
|
351
|
265
|
OK
|
303
|
234
|
|
HI
|
357
|
267
|
OR
|
340
|
256
|
|
IA
|
307
|
237
|
PA
|
362
|
256
|
|
ID
|
306
|
236
|
PR
|
271
|
214
|
|
IL
|
371
|
282
|
RI
|
345
|
263
|
|
IN
|
313
|
240
|
SC
|
310
|
238
|
|
KS
|
311
|
240
|
SD
|
305
|
235
|
|
KY
|
308
|
239
|
TN
|
311
|
240
|
|
LA
|
328
|
251
|
TX
|
340
|
258
|
|
MA
|
357
|
268
|
UT
|
321
|
245
|
|
MD
|
382
|
285
|
VA
|
382
|
285
|
|
ME
|
333
|
251
|
VT
|
326
|
248
|
|
MI
|
371
|
268
|
WA
|
358
|
268
|
|
MN
|
378
|
248
|
WI
|
319
|
245
|
|
MO
|
330
|
252
|
WV
|
311
|
244
|
|
MS
|
302
|
234
|
WY
|
312
|
241
|
|