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CPT code 45379: Colonoscopy, foreign body removal2026 Medicare rate & RVUs in Queens, NY

Report this service when a colonoscopy is used to retrieve a foreign object from the colon, rather than only to inspect or sample tissue.

CMS RVU26DEffective Oct 1, 2026One payment locality1.1K Medicare services in 2024

In Queens, NY, Medicare pays $554.36 for 45379 in the office and $236.15 when it’s performed in a hospital or facility.

$554.36Office (non-facility)
$236.15Hospital or facility
+15.7%vs the national office rate ($479.30)

Check a contract rate as a % of Medicare · 45379 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 45379 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Queens, NY
  2. What 45379 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 45379 covers

A gastroenterologist or colorectal surgeon uses a colonoscope to locate and retrieve foreign material in the colon, often with an endoscopic retrieval device or forceps. The service may be performed in a hospital or ambulatory endoscopy setting when an object requires endoscopic removal. The record should identify the foreign material, its location, and the retrieval performed; routine inspection that does not include removal is not this service.

Select this code when the documented colonoscopy includes foreign-body retrieval, not when the procedure only evaluates the colon, takes a biopsy, or removes a lesion. The diagnostic examination is part of the therapeutic procedure. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, CMS endoscopy family pricing applies. Modifier 50 is inappropriate for this anatomy and service. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery 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 Queens, NY compares for 45379

Across 109 of 109 payment localities, the office rate for 45379 runs from $425.73 in Arkansas to $630.09 in San Benito County, CA. Queens, NY pays $554.36. The RVUs are the same everywhere; the geographic indexes change the dollars.

45379 in Queens, NY vs other payment areas
  1. Queens, NY · this page$554.36
  2. Manhattan, NY · New York$550.24−$4.12
  3. NYC suburbs and Long Island, NY · New York$563.41+$9.05
  4. Poughkeepsie and northern NYC suburbs, NY · New York$519.75−$34.61
  5. Rest of New York · New York$458.26−$96.10
  6. Los Angeles, CA · California$538.74−$15.62
  7. Washington, DC area · District of Columbia$546.28−$8.08

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

Every other payment area

45379 in every other Medicare payment locality
Payment localityOfficeFacility
Miami, FLFlorida$517.60$237.35
Chicago, ILIllinois$503.09$232.53
AlaskaAlaska$562.63$275.92
AlabamaAlabama$431.74$196.18
ArkansasArkansas$425.73$194.48
ArizonaArizona$466.91$206.05
Bakersfield, CACalifornia$506.62$211.57
Chico, CACalifornia$505.15$210.09

45379 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.

$425.73

$567.62

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

View every state and territory as a table
45379 office rate range by state
State / territoryOffice rate rangeLocalities
AK$562.631
AL$431.741
AR$425.731
AZ$466.911
CA$505.15–$630.0929
CO$498.101
CT$510.451
DC$546.281
DE$474.461
FL$473.29–$517.603
GA$447.49–$488.192
GU$516.751
HI$516.751
IA$441.921
ID$444.791
IL$460.36–$503.094
IN$447.261
KS$440.111
KY$441.991
LA$441.40–$462.432
MA$495.36–$546.002
MD$483.24–$546.283
ME$447.22–$470.352
MI$453.26–$479.202
MN$477.171
MO$434.21–$463.803
MS$430.041
MT$479.271
NC$451.711
ND$469.581
NE$444.201
NH$490.531
NJ$516.24–$540.982
NM$455.731
NV$476.891
NY$458.26–$563.415
OH$451.281
OK$441.021
OR$473.15–$513.272
PA$451.86–$498.242
PR$482.621
RI$490.861
SC$452.251
SD$468.441
TN$442.271
TX$449.01–$496.498
UT$458.211
VA$468.99–$546.282
VI$482.621
VT$467.981
WA$494.36–$556.742
WI$454.381
WV$443.961
WY$475.051

See 45379 in every payment locality

How the 45379 rate is calculated

Each of 45379’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 · 45379

RVUs × geographic indexes × conversion factor

Office or facility?

Work4.17

4.17 RVUs× 1.000 GPCI

Practice expense9.69

9.69 RVUs× 1.000 GPCI

Malpractice0.49

0.49 RVUs× 1.000 GPCI

Adjusted RVUs

14.3500

Conversion factor

$33.4009

Medicare rate

$479.30

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

The exact Queens, NY inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

5,515

Code
45379
Physician work
4.17
Practice expense
9.69
Malpractice
0.49

GPCI2026.csv

81

Locality
Queens, NY
Physician work
1.064
Practice expense
1.182
Malpractice
1.442
Office calculation for 45379 in Queens, NY
ComponentRVULocality factorAdjusted
Physician work4.17× 1.0644.4369
Practice expense9.69× 1.18211.4536
Malpractice0.49× 1.4420.7066
Total RVUs16.5970
Conversion factor× 33.4009

Office rate, Queens, NY$554.36

Office: (4.17 × 1.064 + 9.69 × 1.182 + 0.49 × 1.442) × $33.4009 = $554.36

Facility: (4.17 × 1.064 + 1.63 × 1.182 + 0.49 × 1.442) × $33.4009 = $236.15

Open 45379 in the RVU calculator

Payment rules and modifiers for 45379

The CMS indicators that decide how 45379 is paid alongside other services.

CMS payment indicators · 45379

Colonoscopy, foreign body removal

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures3Endoscopy family rules apply.
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

45379 without 51 · national office

$479.30

Colonoscopy, foreign body removal

45379-51 · Second procedure: 50%

$239.65

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 45379

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

Codes related to 45379
CodeHow it relatesOffice range, Queens, NY
Used instead
45378Colonoscopy, diagnostic, no tissue removalUse for colonoscopy limited to diagnostic examination, without foreign-body retrieval.$437.94
Same family
45380Colonoscopy with biopsy, single or multiple forceps biopsiesColonoscopy code for tissue sampling rather than foreign-body retrieval.$557.30
45384Colonoscopy polyp removal, hot biopsy or bipolar cauteryColonoscopy code for removal of a lesion using hot biopsy forceps or bipolar cautery.$627.25
45385Snare polypectomy, during colonoscopyColonoscopy code for lesion removal by snare technique.$577.86
45382Colonoscopy, control of bleedingColonoscopy code for controlling bleeding, a different therapeutic service.$849.48

How 45379 has changed in Queens, NY

45379 · Office / nonfacility

$554.36

Effective 2026-10-01

The base rate is $70.00 higher than on 2025-10-01, moving from $484.36 to $554.36 (14.5%).

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

    $484.36changed to$554.36

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.28 changed to 4.17
    • Practice expense RVU 8.08 changed to 9.69
    • Malpractice RVU 0.52 changed to 0.49
    • Work GPCI 1.065 changed to 1.064
    • Practice expense GPCI 1.195 changed to 1.182
    • Malpractice GPCI 1.462 changed to 1.442

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $503.62changed to$484.36

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 8.21 changed to 8.08

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $495.40changed to$503.62

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $529.33changed to$495.40

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 8.24 changed to 8.21
    • Malpractice RVU 0.53 changed to 0.52
    • Work GPCI 1.061 changed to 1.065
    • Practice expense GPCI 1.212 changed to 1.195
    • Malpractice GPCI 2.061 changed to 1.462

  5. January 1, 2023

    RVU23A

    $563.39changed to$529.33

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 8.45 changed to 8.24
    • Malpractice RVU 0.52 changed to 0.53
    • Work GPCI 1.056 changed to 1.061
    • Practice expense GPCI 1.228 changed to 1.212
    • Malpractice GPCI 2.661 changed to 2.061

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $559.70changed to$563.39

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 8.32 changed to 8.45
    • Malpractice RVU 0.49 changed to 0.52

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $529.27changed to$559.70

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 7.36 changed to 8.32
    • Malpractice RVU 0.51 changed to 0.49
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.214 changed to 1.228
    • Malpractice GPCI 2.391 changed to 2.661

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $509.66changed to$529.27

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 6.99 changed to 7.36
    • Malpractice RVU 0.59 changed to 0.51
    • Work GPCI 1.052 changed to 1.054
    • Practice expense GPCI 1.200 changed to 1.214
    • Malpractice GPCI 2.121 changed to 2.391

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $498.84changed to$509.66

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 6.77 changed to 6.99
    • Malpractice RVU 0.58 changed to 0.59

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $497.32changed to$498.84

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 6.72 changed to 6.77
    • Malpractice RVU 0.60 changed to 0.58
    • Malpractice GPCI 2.151 changed to 2.121

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $581.38changed to$497.32

    • Conversion factor 35.8043 changed to 35.8887
    • Work RVU 4.38 changed to 4.28
    • Practice expense RVU 8.59 changed to 6.72
    • Malpractice RVU 0.61 changed to 0.60
    • Practice expense GPCI 1.199 changed to 1.200
    • Malpractice GPCI 2.181 changed to 2.151

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $614.64changed to$581.38

    • Conversion factor 35.9335 changed to 35.8043
    • Work RVU 4.68 changed to 4.38
    • Practice expense RVU 8.85 changed to 8.59
    • Malpractice RVU 0.72 changed to 0.61

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $611.58changed to$614.64

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $599.93changed to$611.58

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 8.80 changed to 8.85
    • Malpractice RVU 0.69 changed to 0.72
    • Work GPCI 1.057 changed to 1.052
    • Practice expense GPCI 1.197 changed to 1.199
    • Malpractice GPCI 1.836 changed to 2.181

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $617.08changed to$599.93

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 10.12 changed to 8.80
    • Malpractice RVU 0.72 changed to 0.69
    • Work GPCI 1.062 changed to 1.057
    • Practice expense GPCI 1.195 changed to 1.197
    • Malpractice GPCI 1.491 changed to 1.836

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $617.08

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$554.36$236.15RVU26D
2026-07-01$554.36$236.15RVU26C
2026-04-01$554.36$236.15RVU26B
2026-01-01$554.36$236.15RVU26A
2025-10-01$484.36$259.00RVU25D
2025-07-01$484.36$259.00RVU25C
2025-04-01$484.36$259.00RVU25B
2025-01-01$484.36$259.00RVU25A
2024-10-01$503.62$265.74RVU24D
2024-07-01$503.62$265.74RVU24C
2024-04-01$503.62$265.74RVU24B
2024-03-09$503.62$265.74RVU24AR
2024-01-01$495.40$261.41RVU24A
2023-10-01$529.33$280.85RVU23D
2023-07-01$529.33$280.85RVU23C
2023-04-01$529.33$280.85RVU23B
2023-01-01$529.33$280.85RVU23A
2022-10-01$563.39$297.79RVU22D
2022-07-01$563.39$297.79RVU22C
2022-04-01$563.39$297.79RVU22B
2022-01-01$563.39$297.79RVU22A
2021-10-01$559.70$296.18RVU21D
2021-07-01$559.70$296.18RVU21C
2021-04-01$559.70$296.18RVU21B
2021-01-01$559.70$296.18RVU21A
2020-10-01$529.27$299.70RVU20D
2020-07-01$529.27$299.70RVU20C
2020-04-01$529.27$299.70RVU20B
2020-01-01$529.27$299.70RVU20A
2019-10-01$509.66$299.48RVU19D
2019-07-01$509.66$299.48RVU19C
2019-04-01$509.66$299.48RVU19B
2019-01-01$509.66$299.48RVU19A
2018-10-01$498.84$299.69RVU18D
2018-07-01$498.84$299.69RVU18C
2018-04-01$498.84$299.69RVU18B
2018-01-01$498.84$299.69RVU18AR1
2017-10-01$497.32$300.50RVU17D
2017-07-01$497.32$300.50RVU17C
2017-04-01$497.32$300.50RVU17B
2017-01-01$497.32$300.50RVU17A
2016-10-01$581.38$306.63RVU16D
2016-07-01$581.38$306.63RVU16C
2016-04-01$581.38$306.63RVU16B
2016-01-01$581.38$306.63RVU16A
2015-10-01$614.64$335.88RVU15D
2015-07-01$614.64$335.88RVU15C
2015-04-01$611.58$334.21RVU15B
2015-01-01$611.58$334.21RVU15A
2014-10-01$599.93$325.50RVU14D
2014-07-01$599.93$325.50RVU14C
2014-04-01$599.93$325.50RVU14B
2014-01-01$599.93$325.50RVU14A
2013-10-01$617.08$315.81RVU13D
2013-07-01$617.08$315.81RVU13C
2013-04-01$617.08$315.81RVU13B
2013-01-01$617.08$315.81RVU13AR

Price 45379 for an earlier date of service

Where the Queens, NY rate applies

Queens, NY is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in New York. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in New York

45379 billing questions

How is this different from a diagnostic colonoscopy?

Use this code when the colonoscopy includes retrieval of a foreign object. A colonoscopy performed only to examine the colon, without foreign-body removal, is reported as a diagnostic colonoscopy.

Should a biopsy or lesion-removal code be used instead?

Use a biopsy or lesion-removal code when tissue is sampled or a lesion is removed, rather than a foreign object. The operative report should make clear what was retrieved or treated.

Can a diagnostic colonoscopy also be reported for the same procedure?

The inspection needed to locate and retrieve the foreign object is part of the therapeutic colonoscopy. CMS endoscopy family pricing applies when related endoscopies are performed together.

Does modifier 50 apply?

No. CMS identifies bilateral adjustment as inappropriate for this service and anatomy.

Can an assistant surgeon or co-surgeon be billed?

Medicare does not pay an assistant at surgery for this service. Co-surgeons and team surgery are not permitted.

What documentation supports reporting this code?

Document the foreign material, its location in the colon, and the endoscopic retrieval performed. The record should distinguish retrieval from biopsy, lesion removal, or inspection alone.

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 45379PPRRVU2026_Oct_nonQPP.csv, line 5,515 (RVU26D)
Geographic factors for Queens, NYGPCI2026.csv, line 81 (RVU26D)

Open CMS sourceHow we calculate rates

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