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Medicare by State
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





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