CPT code 45350: Sigmoidoscopy, endoscopic band ligation2026 Medicare rate & RVUs in Mississippi

In Mississippi, Medicare pays $646.92 for 45350 in the office and $85.84 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 45350 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 45350 covers

A clinician advances a flexible sigmoidoscope to examine the rectum and distal colon, then applies bands to selected tissue. A common use is endoscopic treatment of internal hemorrhoids. Gastroenterologists and colorectal surgeons typically perform the procedure in an office-based endoscopy suite or hospital outpatient department. The scope examination and band placement are reported together as the therapeutic service.

Choose this code when the documented procedure includes endoscopic band ligation, rather than diagnostic inspection alone or treatment by a different method. The report should identify the indication, endoscopic findings, target tissue, and treatment performed. CMS 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 does not pay an assistant at surgery, and co-surgeon and team-surgery billing 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 Mississippi compares for 45350

Across 109 of 109 payment localities, the office rate for 45350 runs from $643.98 in Arkansas to $1,047.59 in San Benito County, CA. Mississippi pays $646.92. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

45350 rates by state

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

See 45350 in every payment locality

How the 45350 rate is calculated

Each of 45350’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 45350

The CMS indicators that decide how 45350 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 45350

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

How 45350 has changed in Mississippi

Price 45350 for an earlier date of service

Where the Mississippi rate applies

Mississippi is a Medicare payment area, not a city. Our Census mapping connects it to 427 cities and communities in Mississippi. Some span more than one payment area; confirm with the service ZIP.

• Abbeville
• Aberdeen
• Ackerman
• Agricola
• Alcorn State University
• Algoma
• Alligator
• Amory

Browse all communities in Mississippi

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