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CPT code 45300: Proctosigmoidoscopy, rigid, diagnostic2026 Medicare rate & RVUs in Galveston, TX

Reports rigid-scope examination of the rectum and distal sigmoid for diagnostic evaluation, including brushing or washing specimen collection when performed.

CMS RVU26DEffective Oct 1, 2026One payment locality13.2K Medicare services in 2024

In Galveston, TX, Medicare pays $147.27 for 45300 in the office and $44.45 when it’s performed in a hospital or facility.

$147.27Office (non-facility)
$44.45Hospital or facility
−0.9%vs the national office rate ($148.63)

Check a contract rate as a % of Medicare · 45300 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 45300 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Galveston, TX
  2. What 45300 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 45300 covers

A physician passes a rigid scope through the anus to examine the rectum and distal sigmoid, commonly to evaluate rectal bleeding, pain, or a suspected distal lesion. Brushing or washing to collect specimens is included when performed. Gastroenterologists and colorectal surgeons may perform the examination in an office or facility setting.

Select this code for a diagnostic rigid examination; a documented biopsy or therapeutic maneuver may call for a different procedure code. The report should identify the indication, examination findings, and any brushing or washing performed. The service has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in the same session, the highest-valued is paid in full and others are subject to the standard 50% reduction. Modifier 50 is inappropriate; assistant-at-surgery payment is restricted, and co-surgeon and team-surgery payment are not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Galveston, TX compares for 45300

Across 109 of 109 payment localities, the office rate for 45300 runs from $129.86 in Arkansas to $201.75 in San Benito County, CA. Galveston, TX pays $147.27. The RVUs are the same everywhere; the geographic indexes change the dollars.

45300 in Galveston, TX vs other payment areas
  1. Galveston, TX · this page$147.27
  2. Austin, TX · Texas$155.05+$7.78
  3. Beaumont, TX · Texas$137.68−$9.59
  4. Brazoria, TX · Texas$146.82−$0.45
  5. Dallas, TX · Texas$147.78+$0.51
  6. Fort Worth, TX · Texas$146.65−$0.62
  7. Houston, TX · Texas$149.65+$2.38

Other areas in Texas first, then benchmark localities. Bars start at $0.

Every other payment area

45300 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$142.18$43.92
Los Angeles, CACalifornia$169.88$47.39
Washington, DC areaDistrict of Columbia$171.58$49.60
Miami, FLFlorida$160.12$52.33
Chicago, ILIllinois$155.03$50.97
Manhattan, NYNew York$172.00$51.68
AlaskaAlaska$167.40$57.12
AlabamaAlabama$131.97$41.37

45300 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$129.86

$180.08

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
45300 office rate range by state
State / territoryOffice rate rangeLocalities
AK$167.401
AL$131.971
AR$129.861
AZ$144.341
CA$158.41–$201.7529
CO$155.561
CT$159.171
DC$171.581
DE$146.911
FL$145.62–$160.123
GA$136.70–$151.482
GU$163.001
HI$163.001
IA$135.971
ID$136.891
IL$140.79–$155.364
IN$137.771
KS$135.131
KY$135.141
LA$134.85–$142.252
MA$154.44–$172.162
MD$149.96–$171.583
ME$137.53–$145.972
MI$138.91–$147.472
MN$149.011
MO$132.20–$142.973
MS$131.071
MT$148.631
NC$139.141
ND$146.051
NE$136.831
NH$152.941
NJ$160.98–$169.492
NM$139.691
NV$148.031
NY$141.43–$176.375
OH$138.381
OK$135.011
OR$146.87–$161.062
PA$138.70–$154.792
PR$149.871
RI$152.561
SC$139.001
SD$145.751
TN$135.861
TX$137.68–$155.058
UT$141.101
VA$145.35–$171.582
VI$149.871
VT$145.311
WA$154.20–$175.982
WI$140.661
WV$135.021
WY$147.511

See 45300 in every payment locality

How the 45300 rate is calculated

Each of 45300’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 45300

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.78

0.78 RVUs× 1.000 GPCI

Practice expense3.54

3.54 RVUs× 1.000 GPCI

Malpractice0.13

0.13 RVUs× 1.000 GPCI

Adjusted RVUs

4.4500

Conversion factor

$33.4009

Medicare rate

$148.63

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Galveston, TX inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

5,487

Code
45300
Physician work
0.78
Practice expense
3.54
Malpractice
0.13

GPCI2026.csv

101

Locality
Galveston, TX
Physician work
1.008
Practice expense
0.993
Malpractice
0.828
Office calculation for 45300 in Galveston, TX
ComponentRVULocality factorAdjusted
Physician work0.78× 1.0080.7862
Practice expense3.54× 0.9933.5152
Malpractice0.13× 0.8280.1076
Total RVUs4.4091
Conversion factor× 33.4009

Office rate, Galveston, TX$147.27

Office: (0.78 × 1.008 + 3.54 × 0.993 + 0.13 × 0.828) × $33.4009 = $147.27

Facility: (0.78 × 1.008 + 0.44 × 0.993 + 0.13 × 0.828) × $33.4009 = $44.45

Open 45300 in the RVU calculator

Payment rules and modifiers for 45300

The CMS indicators that decide how 45300 is paid alongside other services.

CMS payment indicators · 45300

Proctosigmoidoscopy, rigid, diagnostic

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

45300 without 51 · national office

$148.63

Proctosigmoidoscopy, rigid, diagnostic

45300-51 · Second procedure: 50%

$74.32

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

Codes related to 45300

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 45300
CodeHow it relatesOffice range, Galveston, TX
Same family
45305Proctosigmoidoscopy, rigid scope with biopsyRigid proctosigmoidoscopy with biopsy rather than diagnostic examination alone.$196.47
45303Proctosigmoidoscopy, dilation of a narrowingRigid proctosigmoidoscopy with dilation.$1,017.65
Used instead
45330Flexible sigmoidoscopy, diagnosticDiagnostic examination using a flexible sigmoidoscope instead of a rigid scope.$213.35

How 45300 has changed in Galveston, TX

45300 · Office / nonfacility

$147.27

Effective 2026-10-01

The base rate is $22.01 higher than on 2025-10-01, moving from $125.26 to $147.27 (17.6%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $125.26changed to$147.27

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.80 changed to 0.78
    • Practice expense RVU 2.95 changed to 3.54
    • Work GPCI 1.014 changed to 1.008
    • Practice expense GPCI 1.000 changed to 0.993
    • Malpractice GPCI 0.855 changed to 0.828

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $127.90changed to$125.26

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 2.92 changed to 2.95

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $125.81changed to$127.90

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $131.86changed to$125.81

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.95 changed to 2.92
    • Malpractice RVU 0.12 changed to 0.13
    • Work GPCI 1.023 changed to 1.014
    • Practice expense GPCI 1.013 changed to 1.000
    • Malpractice GPCI 0.703 changed to 0.855

  5. January 1, 2023

    RVU23A

    $136.47changed to$131.86

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.98 changed to 2.95
    • Malpractice RVU 0.11 changed to 0.12
    • Work GPCI 1.032 changed to 1.023
    • Practice expense GPCI 1.026 changed to 1.013
    • Malpractice GPCI 0.550 changed to 0.703

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $138.35changed to$136.47

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 2.99 changed to 2.98
    • Malpractice RVU 0.13 changed to 0.11

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $128.36changed to$138.35

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.61 changed to 2.99
    • Malpractice RVU 0.11 changed to 0.13
    • Work GPCI 1.026 changed to 1.032
    • Practice expense GPCI 1.019 changed to 1.026
    • Malpractice GPCI 0.695 changed to 0.550

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $125.88changed to$128.36

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.54 changed to 2.61
    • Malpractice RVU 0.13 changed to 0.11
    • Work GPCI 1.020 changed to 1.026
    • Practice expense GPCI 1.011 changed to 1.019
    • Malpractice GPCI 0.839 changed to 0.695

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $129.75changed to$125.88

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.65 changed to 2.54

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $127.17changed to$129.75

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.58 changed to 2.65
    • Practice expense GPCI 1.012 changed to 1.011
    • Malpractice GPCI 0.897 changed to 0.839

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $126.85changed to$127.17

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.57 changed to 2.58
    • Work GPCI 1.019 changed to 1.020
    • Practice expense GPCI 1.013 changed to 1.012
    • Malpractice GPCI 0.955 changed to 0.897

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $128.42changed to$126.85

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 2.61 changed to 2.57
    • Malpractice RVU 0.12 changed to 0.13

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $127.78changed to$128.42

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $125.41changed to$127.78

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 2.57 changed to 2.61
    • Malpractice RVU 0.11 changed to 0.12
    • Work GPCI 1.014 changed to 1.019
    • Practice expense GPCI 1.005 changed to 1.013
    • Malpractice GPCI 0.970 changed to 0.955

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $129.42changed to$125.41

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 2.89 changed to 2.57
    • Malpractice RVU 0.12 changed to 0.11
    • Work GPCI 1.009 changed to 1.014
    • Practice expense GPCI 0.996 changed to 1.005
    • Malpractice GPCI 0.985 changed to 0.970

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $129.42

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$147.27$44.45RVU26D
2026-07-01$147.27$44.45RVU26C
2026-04-01$147.27$44.45RVU26B
2026-01-01$147.27$44.45RVU26A
2025-10-01$125.26$46.98RVU25D
2025-07-01$125.26$46.98RVU25C
2025-04-01$125.26$46.98RVU25B
2025-01-01$125.26$46.98RVU25A
2024-10-01$127.90$47.68RVU24D
2024-07-01$127.90$47.68RVU24C
2024-04-01$127.90$47.68RVU24B
2024-03-09$127.90$47.68RVU24AR
2024-01-01$125.81$46.90RVU24A
2023-10-01$131.86$48.10RVU23D
2023-07-01$131.86$48.10RVU23C
2023-04-01$131.86$48.10RVU23B
2023-01-01$131.86$48.10RVU23A
2022-10-01$136.47$48.06RVU22D
2022-07-01$136.47$48.06RVU22C
2022-04-01$136.47$48.06RVU22B
2022-01-01$136.47$48.06RVU22A
2021-10-01$138.35$48.49RVU21D
2021-07-01$138.35$48.49RVU21C
2021-04-01$138.35$48.49RVU21B
2021-01-01$138.35$48.49RVU21A
2020-10-01$128.36$49.67RVU20D
2020-07-01$128.36$49.67RVU20C
2020-04-01$128.36$49.67RVU20B
2020-01-01$128.36$49.67RVU20A
2019-10-01$125.88$50.83RVU19D
2019-07-01$125.88$50.83RVU19C
2019-04-01$125.88$50.83RVU19B
2019-01-01$125.88$50.83RVU19A
2018-10-01$129.75$56.60RVU18D
2018-07-01$129.75$56.60RVU18C
2018-04-01$129.75$56.60RVU18B
2018-01-01$129.75$56.60RVU18AR1
2017-10-01$127.17$56.71RVU17D
2017-07-01$127.17$56.71RVU17C
2017-04-01$127.17$56.71RVU17B
2017-01-01$127.17$56.71RVU17A
2016-10-01$126.85$56.48RVU16D
2016-07-01$126.85$56.48RVU16C
2016-04-01$126.85$56.48RVU16B
2016-01-01$126.85$56.48RVU16A
2015-10-01$128.42$56.71RVU15D
2015-07-01$128.42$56.71RVU15C
2015-04-01$127.78$56.43RVU15B
2015-01-01$127.78$56.43RVU15A
2014-10-01$125.41$55.92RVU14D
2014-07-01$125.41$55.92RVU14C
2014-04-01$125.41$55.92RVU14B
2014-01-01$125.41$55.92RVU14A
2013-10-01$129.42$55.54RVU13D
2013-07-01$129.42$55.54RVU13C
2013-04-01$129.42$55.54RVU13B
2013-01-01$129.42$55.54RVU13AR

Price 45300 for an earlier date of service

Where the Galveston, TX rate applies

Galveston, TX is a Medicare payment area, not a city. Our Census mapping connects it to 16 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

  • Galveston
  • Bacliff
  • Bayou Vista
  • Bolivar Peninsula
  • Clear Lake Shores
  • Dickinson
  • 45300 in Friendswood · multiple payment areas
  • Hitchcock

Browse all communities in Texas

45300 billing questions

How does 45300 differ from diagnostic flexible sigmoidoscopy?

45300 is for examination with a rigid scope. Use 45330 when the examination is performed with a flexible sigmoidoscope.

Can brushing or washing be reported separately?

No. Brushing or washing specimen collection is included in 45300 when performed.

Can a biopsy be reported as 45300?

No. A biopsy is a distinct service; 45305 describes rigid proctosigmoidoscopy with biopsy.

What should the procedure note support?

Document the diagnostic indication, rigid scope examination and findings, and whether brushing or washing was performed.

How does the multiple-procedure rule affect payment?

For procedures in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 45300PPRRVU2026_Oct_nonQPP.csv, line 5,487 (RVU26D)
Geographic factors for Galveston, TXGPCI2026.csv, line 101 (RVU26D)

Open CMS sourceHow we calculate rates

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