CPT code 45349: Endoscopic mucosal resection, flexible sigmoidoscopy2026 Medicare rate & RVUs in Minnesota

In Minnesota, Medicare pays $167.57 for 45349 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 45349 nationwide

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

What 45349 covers

A gastroenterologist or colorectal surgeon uses a flexible sigmoidoscope to reach a lesion in the rectum or sigmoid colon and perform endoscopic mucosal resection (EMR). The technique commonly involves lifting the lesion from the underlying wall, often with a submucosal injection, then removing the targeted mucosa with an endoscopic resection instrument. It is performed in an endoscopy setting for lesions selected for endoscopic rather than surgical removal.

Report this code when the documented therapeutic service is EMR during flexible sigmoidoscopy, not merely inspection, biopsy, or routine snare removal. The report should identify the lesion’s location and describe the EMR technique and resection performed. Medicare assigns a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, endoscopy family pricing applies. Modifier 50 is inappropriate; CMS also does not pay an assistant at surgery, and does not permit co-surgeons or team surgery for this service.

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 Minnesota compares for 45349

Across 109 of 109 payment localities, the facility rate for 45349 runs from $162.30 in Arkansas to $229.89 in Alaska. Minnesota pays $167.57. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

45349 rates by state

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

See 45349 in every payment locality

How the 45349 rate is calculated

Each of 45349’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.

Payment rules and modifiers for 45349

The CMS indicators that decide how 45349 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 45349

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

How 45349 has changed in Minnesota

Price 45349 for an earlier date of service

Where the Minnesota rate applies

Minnesota is a Medicare payment area, not a city. Our Census mapping connects it to 916 cities and communities in Minnesota. Some span more than one payment area; confirm with the service ZIP.

• Ada
• Adams
• Adrian
• Afton
• Aitkin
• Akeley
• Albany
• Albert Lea

Browse all communities in Minnesota

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

Open CMS sourceHow we calculate rates