CPT code 45382: Colonoscopy, control of bleeding2026 Medicare rate & RVUs
Reports colonoscopy with endoscopic treatment of active colonic bleeding, such as bleeding from angiodysplasia, a diverticulum, or a prior procedure site.
Medicare pays $730.14 for 45382 nationally in the office and $226.79 in a hospital or facility. Local office rates run $642.83–$987.39.
Medicare rate · 45382
Colonoscopy, control of bleeding
- Work RVUs
- 4.54
- Total RVUs
- 21.86
- Global days
- 000
National rate · 2026
$730.14
Office setting, before claim adjustments.
See every locality for 45382 →Billed by an NP, PA or therapist? →
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
Your location
On this page 10 sections
What 45382 covers
A gastroenterologist or other qualified endoscopist uses a colonoscope to locate and treat a bleeding source in the colon. Hemostasis may involve a clip, thermal treatment, or injection, depending on the source and clinical circumstances. Examples include active bleeding from angiodysplasia or a diverticulum, and bleeding at a prior polypectomy site. The service is commonly performed in a hospital outpatient department or ambulatory surgery center.
Select this code when the colonoscopy includes treatment to control bleeding, not merely inspection or routine hemostasis integral to another intervention. The procedure report should identify the bleeding site, findings, treatment method, and response. The code has 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; assistant-at-surgery payment is statutorily restricted, and 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.
Where 45382 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$642.83 to $987.39
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $652.67 | $212.24 |
| Alaska | $834.98 | $298.91 |
| Arizona | $710.32 | $222.58 |
| Arkansas | $642.83 | $210.45 |
| Atlanta, GA | $742.94 | $231.54 |
| Austin, TX | $761.13 | $228.58 |
| Bakersfield, CA | $780.43 | $228.75 |
| Baltimore area, MD | $777.54 | $237.44 |
| Beaumont, TX | $678.40 | $220.35 |
| Brazoria, TX | $722.63 | $223.81 |
| Chicago, IL | $755.64 | $249.77 |
| Chico, CA | $778.91 | $227.23 |
| Colorado | $764.26 | $228.70 |
| Connecticut | $779.94 | $237.83 |
| Dallas, TX | $726.89 | $225.55 |
| Delaware | $722.47 | $225.16 |
| Detroit, MI | $721.94 | $236.20 |
| East St. Louis, IL | $702.13 | $239.05 |
| El Centro, CA | $778.99 | $227.32 |
| Fort Lauderdale, FL | $750.94 | $241.05 |
| Fort Worth, TX | $721.49 | $225.18 |
| Fresno, CA | $778.91 | $227.23 |
| Galveston, TX | $724.55 | $224.72 |
| Hanford, CA | $778.91 | $227.23 |
| Hawaii, Guam, HI | $800.08 | $227.77 |
| Houston, TX | $733.70 | $233.88 |
| Idaho | $676.40 | $213.31 |
| Indiana | $680.55 | $213.94 |
| Iowa | $672.32 | $211.75 |
| Kansas | $667.93 | $212.90 |
| Kentucky | $666.36 | $218.88 |
| King County, WA | $862.20 | $244.59 |
| Los Angeles, CA | $833.56 | $238.09 |
| Madera, CA | $778.91 | $227.23 |
| Manhattan, NY | $840.65 | $255.75 |
| Marin County, CA | $965.85 | $256.13 |
| Merced, CA | $778.91 | $227.23 |
| Metropolitan Boston, MA | $843.51 | $242.51 |
| Metropolitan Kansas City, MO | $695.49 | $222.84 |
| Metropolitan Philadelphia, PA | $759.13 | $235.14 |
| Metropolitan St. Louis, MO | $703.21 | $224.02 |
| Miami, FL | $778.71 | $254.72 |
| Minnesota | $734.68 | $216.73 |
| Mississippi | $647.69 | $214.31 |
| Modesto, CA | $778.91 | $227.23 |
| Montana | $730.11 | $226.76 |
| Napa, CA | $910.13 | $246.72 |
| Nebraska | $676.50 | $211.90 |
| Nevada | $727.92 | $224.06 |
| New Hampshire | $751.09 | $227.10 |
| New Mexico | $686.87 | $225.30 |
| New Orleans, LA | $699.27 | $225.61 |
| North Carolina | $686.47 | $216.85 |
| North Dakota | $720.22 | $216.87 |
| Northern New Jersey | $830.72 | $246.83 |
| NYC suburbs and Long Island, NY | $860.34 | $261.86 |
| Ohio | $681.40 | $221.84 |
| Oklahoma | $666.31 | $216.81 |
| Oxnard, CA | $830.34 | $235.38 |
| Portland, OR | $790.65 | $231.43 |
| Poughkeepsie and northern NYC suburbs, NY | $793.85 | $242.68 |
| Puerto Rico | $736.07 | $227.18 |
| Queens, NY | $849.48 | $254.52 |
| Redding, CA | $778.91 | $227.23 |
| Rest of California | $778.91 | $227.23 |
| Rest of Florida | $713.82 | $232.62 |
| Rest of Georgia | $672.68 | $223.69 |
| Rest of Illinois | $690.67 | $231.11 |
| Rest of Louisiana | $664.83 | $219.37 |
| Rest of Maine | $678.89 | $215.80 |
| Rest of Maryland | $737.03 | $227.64 |
| Rest of Massachusetts | $758.96 | $228.93 |
| Rest of Michigan | $683.42 | $223.86 |
| Rest of Missouri | $652.18 | $218.29 |
| Rest of New Jersey | $789.52 | $239.86 |
| Rest of New York | $697.09 | $218.91 |
| Rest of Oregon | $722.94 | $221.60 |
| Rest of Pennsylvania | $683.16 | $221.08 |
| Rest of Texas | $699.87 | $222.19 |
| Rest of Washington | $757.90 | $227.87 |
| Rhode Island | $749.76 | $229.80 |
| Riverside, CA | $784.35 | $232.68 |
| Sacramento, CA | $819.43 | $234.03 |
| Salinas, CA | $816.42 | $233.04 |
| San Benito County, CA | $987.39 | $261.56 |
| San Diego, CA | $837.16 | $235.15 |
| San Francisco, CA | $965.29 | $255.56 |
| San Luis Obispo, CA | $803.06 | $229.75 |
| Santa Clara County, CA | $985.07 | $259.24 |
| Santa Cruz, CA | $846.37 | $234.79 |
| Santa Maria, CA | $819.90 | $232.99 |
| Santa Rosa, CA | $855.03 | $236.92 |
| South Carolina | $684.94 | $219.84 |
| South Dakota | $719.05 | $215.70 |
| Southern Maine, ME | $718.92 | $220.10 |
| Stockton, CA | $778.91 | $227.23 |
| Suburban Chicago, IL | $759.27 | $242.32 |
| Tennessee | $671.29 | $213.74 |
| Utah | $694.73 | $221.58 |
| Vallejo, CA | $909.32 | $245.90 |
| Vermont | $716.28 | $217.96 |
| Virgin Islands, VI | $736.07 | $227.18 |
| Virginia | $715.68 | $220.89 |
| Visalia, CA | $778.91 | $227.23 |
| Washington, DC area | $840.22 | $247.27 |
| West Virginia | $663.75 | $226.33 |
| Wisconsin | $694.99 | $212.78 |
| Wyoming | $725.80 | $222.45 |
| Yuba City, CA | $778.91 | $227.23 |
45382 rates by state
Office rate range in each state. Select a state to see its payment localities.
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.
$642.83
$883.15
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $834.98 | 1 |
| AL | $652.67 | 1 |
| AR | $642.83 | 1 |
| AZ | $710.32 | 1 |
| CA | $778.91–$987.39 | 29 |
| CO | $764.26 | 1 |
| CT | $779.94 | 1 |
| DC | $840.22 | 1 |
| DE | $722.47 | 1 |
| FL | $713.82–$778.71 | 3 |
| GA | $672.68–$742.94 | 2 |
| GU | $800.08 | 1 |
| HI | $800.08 | 1 |
| IA | $672.32 | 1 |
| ID | $676.40 | 1 |
| IL | $690.67–$759.27 | 4 |
| IN | $680.55 | 1 |
| KS | $667.93 | 1 |
| KY | $666.36 | 1 |
| LA | $664.83–$699.27 | 2 |
| MA | $758.96–$843.51 | 2 |
| MD | $737.03–$840.22 | 3 |
| ME | $678.89–$718.92 | 2 |
| MI | $683.42–$721.94 | 2 |
| MN | $734.68 | 1 |
| MO | $652.18–$703.21 | 3 |
| MS | $647.69 | 1 |
| MT | $730.11 | 1 |
| NC | $686.47 | 1 |
| ND | $720.22 | 1 |
| NE | $676.50 | 1 |
| NH | $751.09 | 1 |
| NJ | $789.52–$830.72 | 2 |
| NM | $686.87 | 1 |
| NV | $727.92 | 1 |
| NY | $697.09–$860.34 | 5 |
| OH | $681.40 | 1 |
| OK | $666.31 | 1 |
| OR | $722.94–$790.65 | 2 |
| PA | $683.16–$759.13 | 2 |
| PR | $736.07 | 1 |
| RI | $749.76 | 1 |
| SC | $684.94 | 1 |
| SD | $719.05 | 1 |
| TN | $671.29 | 1 |
| TX | $678.40–$761.13 | 8 |
| UT | $694.73 | 1 |
| VA | $715.68–$840.22 | 2 |
| VI | $736.07 | 1 |
| VT | $716.28 | 1 |
| WA | $757.90–$862.20 | 2 |
| WI | $694.99 | 1 |
| WV | $663.75 | 1 |
| WY | $725.80 | 1 |
How the 45382 rate is calculated
Each of 45382’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 · 45382
RVUs × geographic indexes × conversion factor
Work4.54
4.54 RVUs× 1.000 GPCI
Practice expense16.82
16.82 RVUs× 1.000 GPCI
Malpractice0.50
0.50 RVUs× 1.000 GPCI
Adjusted RVUs
21.8600
Conversion factor
$33.4009
Medicare rate
$730.14
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 45382
The CMS indicators that decide how 45382 is paid alongside other services.
CMS payment indicators · 45382
Colonoscopy, control of bleeding
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 3 | Endoscopy family rules apply. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
45382 without 51 · national office
$730.14
Colonoscopy, control of bleeding
45382-51 · Second procedure: 50%
$365.07
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%).
45382 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 45378ColonoscopyDiagnostic, no tissue removal
- 45378 represents diagnostic colonoscopy without therapeutic bleeding control. Use 45382 when the endoscopist treats an identified bleeding source.
- 45381Colonoscopy injectionDirected submucosal injection
- 45381 represents submucosal injection, such as for marking or lifting a lesion. Use 45382 when injection is performed to control bleeding.
- 45385Snare polypectomyDuring colonoscopy
- 45385 is for snare removal of a lesion. 45382 is for endoscopic treatment of bleeding, not removal of the bleeding lesion.
- 45398ColonoscopyWith band ligation
- 45398 identifies colonoscopy with band ligation. Use it when band ligation is the documented intervention rather than reporting bleeding control generically.
45382 billing questions
When should this code be selected instead of diagnostic colonoscopy?
Use it when the endoscopist performs treatment to control bleeding during the colonoscopy. A diagnostic examination without endoscopic bleeding treatment is reported with 45378.
Can diagnostic colonoscopy be reported separately on the same claim?
The examination is part of the therapeutic colonoscopy, so do not separately report 45378 for the same procedure.
Is this code appropriate for routine hemostasis during polyp removal?
Do not use it for hemostasis that is integral to another intervention, such as routine control of bleeding during lesion removal. Document a separately performed service to control a bleeding source.
How does CMS price this with another endoscopy performed in the same session?
CMS endoscopy family pricing applies when related endoscopies are performed together. The claim should identify the procedures actually performed; CMS applies the family pricing methodology.
Can modifier 50 or an assistant-at-surgery modifier be used?
Modifier 50 is inappropriate for this code. CMS statutorily restricts assistant-at-surgery payment, and co-surgeons and team surgery are not permitted.
What documentation supports reporting bleeding control?
Document the bleeding source or site, the endoscopic treatment used, and the result. Findings alone, without treatment to control bleeding, do not support this therapeutic service.
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
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