CPT code 45384: Colonoscopy polyp removal, hot biopsy or bipolar cautery2026 Medicare rate & RVUs in South Dakota

In South Dakota, Medicare pays $525.90 for 45384 in the office and $189.88 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 45384 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 45384 covers

During flexible colonoscopy, the endoscopist removes a polyp or other lesion using hot biopsy forceps or bipolar cautery. Gastroenterologists and colorectal surgeons commonly perform this in an endoscopy center or hospital outpatient department; it may also be performed in an appropriately equipped office. For example, a polyp treated with cautery during the examination is reported by the removal method, not as a diagnostic-only examination.

Select this code when the documented removal technique is hot biopsy forceps or bipolar cautery; a snare removal is reported with a different code. The procedure note should identify the lesion and document the technique used. The diagnostic examination is part of the therapeutic colonoscopy, rather than a separate diagnostic service for that same examination. This minor procedure 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. Medicare does not pay an assistant at surgery for this service, 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 South Dakota compares for 45384

Across 109 of 109 payment localities, the office rate for 45384 runs from $475.05 in Arkansas to $715.37 in San Benito County, CA. South Dakota pays $525.90. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

45384 rates by state

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

See 45384 in every payment locality

How the 45384 rate is calculated

Each of 45384’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 45384

The CMS indicators that decide how 45384 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 45384

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

How 45384 has changed in South Dakota

Price 45384 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Agar
• Agency Village
• Akaska
• Albee
• Alcester
• Alexandria
• Allen

Browse all communities in South Dakota

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