CPT code 45385: Snare polypectomy, during colonoscopy2026 Medicare rate & RVUs in Montana
Report 45385 when one or more polyps or other lesions are removed during flexible colonoscopy with a wire snare, with or without cautery.
In Montana, Medicare pays $499.98 for 45385 in the office and $223.42 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 45385 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 45385 covers
During this procedure, a gastroenterologist or colorectal surgeon advances a flexible colonoscope through the colon, typically to the cecum. Polyps or other lesions are captured with a wire snare and removed either cold or with electrocautery. Removed tissue is typically submitted for pathology. Most cases occur in hospital outpatient departments and ambulatory surgery centers, with a smaller share in office endoscopy suites. Common situations include screening colonoscopies that uncover adenomas, surveillance after prior polyps, and evaluation of a positive stool test.
Report one unit per session regardless of how many lesions are snared. The procedure report should identify the removal technique, lesion sites and sizes, exam extent, and bowel prep quality. The 0-day global period includes same-day preoperative and postoperative care. When related endoscopies are performed together, endoscopy family pricing uses diagnostic colonoscopy 45378 as the base to calculate payment for additional procedures. Medicare does not pay an assistant at surgery for 45385; co-surgeons and team surgery are not permitted. Because the colon is not a bilateral structure, modifier 50 is inappropriate.
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 Montana compares for 45385
Across 109 of 109 payment localities, the office rate for 45385 runs from $444.65 in Arkansas to $656.13 in San Benito County, CA. Montana pays $499.98. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Montana · this page$499.98
- Los Angeles, CA · California$561.52+$61.54
- Washington, DC area · District of Columbia$569.43+$69.45
- Miami, FL · Florida$539.75+$39.77
- Chicago, IL · Illinois$524.78+$24.80
- Manhattan, NY · New York$573.64+$73.66
- Alaska · Alaska$588.56+$88.58
Other areas in Montana first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $450.87 | $208.88 |
| ArkansasArkansas | $444.65 | $207.09 |
| ArizonaArizona | $487.20 | $219.22 |
| Bakersfield, CACalifornia | $528.25 | $225.14 |
| Chico, CACalifornia | $526.70 | $223.60 |
| El Centro, CACalifornia | $526.79 | $223.68 |
| Fresno, CACalifornia | $526.70 | $223.60 |
| Hanford, CACalifornia | $526.70 | $223.60 |
| Madera, CACalifornia | $526.70 | $223.60 |
| Merced, CACalifornia | $526.70 | $223.60 |
| Modesto, CACalifornia | $526.70 | $223.60 |
| Napa, CACalifornia | $607.23 | $242.73 |
| Oxnard, CACalifornia | $558.55 | $231.66 |
| Redding, CACalifornia | $526.70 | $223.60 |
| Rest of CaliforniaCalifornia | $526.70 | $223.60 |
| Riverside, CACalifornia | $532.25 | $229.14 |
| Sacramento, CACalifornia | $551.91 | $230.28 |
| Salinas, CACalifornia | $549.83 | $229.30 |
| San Diego, CACalifornia | $562.14 | $231.38 |
| Marin County, CACalifornia | $641.89 | $251.94 |
| San Francisco, CACalifornia | $641.31 | $251.36 |
| San Benito County, CACalifornia | $656.13 | $257.33 |
| Santa Clara County, CACalifornia | $653.76 | $254.96 |
| San Luis Obispo, CACalifornia | $541.07 | $226.07 |
| Santa Cruz, CACalifornia | $567.05 | $231.03 |
| Santa Maria, CACalifornia | $551.72 | $229.26 |
| Santa Rosa, CACalifornia | $572.73 | $233.12 |
| Stockton, CACalifornia | $526.70 | $223.60 |
| Vallejo, CACalifornia | $606.40 | $241.89 |
| Visalia, CACalifornia | $526.70 | $223.60 |
| Yuba City, CACalifornia | $526.70 | $223.60 |
| ColoradoColorado | $519.45 | $225.19 |
| ConnecticutConnecticut | $532.29 | $234.43 |
| DelawareDelaware | $495.03 | $221.79 |
| Fort Lauderdale, FLFlorida | $518.12 | $237.96 |
| Rest of FloridaFlorida | $493.88 | $229.49 |
| Atlanta, GAGeorgia | $509.23 | $228.24 |
| Rest of GeorgiaGeorgia | $467.21 | $220.52 |
| Hawaii, Guam, HIHawaii | $538.60 | $224.15 |
| IowaIowa | $461.35 | $208.30 |
| IdahoIdaho | $464.31 | $209.88 |
| East St. Louis, ILIllinois | $490.56 | $236.13 |
| Rest of IllinoisIllinois | $480.54 | $228.04 |
| Suburban Chicago, ILIllinois | $523.22 | $239.20 |
| IndianaIndiana | $466.87 | $210.50 |
| KansasKansas | $459.50 | $209.49 |
| KentuckyKentucky | $461.49 | $215.63 |
| New Orleans, LALouisiana | $482.62 | $222.38 |
| Rest of LouisianaLouisiana | $460.88 | $216.13 |
| Metropolitan Boston, MAMassachusetts | $569.04 | $238.83 |
| Rest of MassachusettsMassachusetts | $516.64 | $225.42 |
| Baltimore area, MDMaryland | $530.81 | $234.07 |
| Rest of MarylandMaryland | $504.11 | $224.23 |
| Rest of MaineMaine | $466.85 | $212.42 |
| Southern Maine, MEMaine | $490.72 | $216.65 |
| Detroit, MIMichigan | $500.01 | $233.13 |
| Rest of MichiganMichigan | $473.15 | $220.65 |
| MinnesotaMinnesota | $497.71 | $213.13 |
| Metropolitan Kansas City, MOMissouri | $479.25 | $219.56 |
| Metropolitan St. Louis, MOMissouri | $484.01 | $220.73 |
| Rest of MissouriMissouri | $453.48 | $215.08 |
| MississippiMississippi | $449.14 | $211.02 |
| North CarolinaNorth Carolina | $471.48 | $213.45 |
| North DakotaNorth Dakota | $489.89 | $213.33 |
| NebraskaNebraska | $463.70 | $208.43 |
| New HampshireNew Hampshire | $511.58 | $223.68 |
| Northern New JerseyNew Jersey | $564.00 | $243.19 |
| Rest of New JerseyNew Jersey | $538.35 | $236.35 |
| New MexicoNew Mexico | $475.71 | $222.11 |
| NevadaNevada | $497.50 | $220.66 |
| NYC suburbs and Long Island, NYNew York | $587.27 | $258.44 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $542.02 | $239.19 |
| Queens, NYNew York | $577.86 | $250.97 |
| Rest of New YorkNew York | $478.25 | $215.52 |
| OhioOhio | $471.09 | $218.59 |
| OklahomaOklahoma | $460.47 | $213.51 |
| Portland, OROregon | $535.11 | $227.85 |
| Rest of OregonOregon | $493.62 | $218.16 |
| Metropolitan Philadelphia, PAPennsylvania | $519.67 | $231.78 |
| Rest of PennsylvaniaPennsylvania | $471.69 | $217.80 |
| Puerto RicoPuerto Rico | $503.43 | $223.83 |
| Rhode IslandRhode Island | $512.02 | $226.34 |
| South CarolinaSouth Carolina | $472.07 | $216.53 |
| South DakotaSouth Dakota | $488.70 | $212.14 |
| TennesseeTennessee | $461.73 | $210.34 |
| Austin, TXTexas | $517.74 | $225.14 |
| Beaumont, TXTexas | $468.74 | $217.07 |
| Brazoria, TXTexas | $494.45 | $220.38 |
| Dallas, TXTexas | $497.60 | $222.14 |
| Fort Worth, TXTexas | $494.48 | $221.79 |
| Galveston, TXTexas | $495.94 | $221.31 |
| Houston, TXTexas | $505.27 | $230.65 |
| Rest of TexasTexas | $481.32 | $218.87 |
| UtahUtah | $478.23 | $218.27 |
| VirginiaVirginia | $489.33 | $217.47 |
| Virgin Islands, VIUnited States Virgin Islands | $503.43 | $223.83 |
| VermontVermont | $488.26 | $214.46 |
| Rest of WashingtonWashington | $515.58 | $224.36 |
| King County, WAWashington | $580.16 | $240.82 |
| WisconsinWisconsin | $474.20 | $209.25 |
| West VirginiaWest Virginia | $463.60 | $223.27 |
| WyomingWyoming | $495.58 | $219.02 |
45385 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.
$444.65
$591.42
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 | $588.56 | 1 |
| AL | $450.87 | 1 |
| AR | $444.65 | 1 |
| AZ | $487.20 | 1 |
| CA | $526.70–$656.13 | 29 |
| CO | $519.45 | 1 |
| CT | $532.29 | 1 |
| DC | $569.43 | 1 |
| DE | $495.03 | 1 |
| FL | $493.88–$539.75 | 3 |
| GA | $467.21–$509.23 | 2 |
| GU | $538.60 | 1 |
| HI | $538.60 | 1 |
| IA | $461.35 | 1 |
| ID | $464.31 | 1 |
| IL | $480.54–$524.78 | 4 |
| IN | $466.87 | 1 |
| KS | $459.50 | 1 |
| KY | $461.49 | 1 |
| LA | $460.88–$482.62 | 2 |
| MA | $516.64–$569.04 | 2 |
| MD | $504.11–$569.43 | 3 |
| ME | $466.85–$490.72 | 2 |
| MI | $473.15–$500.01 | 2 |
| MN | $497.71 | 1 |
| MO | $453.48–$484.01 | 3 |
| MS | $449.14 | 1 |
| MT | $499.98 | 1 |
| NC | $471.48 | 1 |
| ND | $489.89 | 1 |
| NE | $463.70 | 1 |
| NH | $511.58 | 1 |
| NJ | $538.35–$564.00 | 2 |
| NM | $475.71 | 1 |
| NV | $497.50 | 1 |
| NY | $478.25–$587.27 | 5 |
| OH | $471.09 | 1 |
| OK | $460.47 | 1 |
| OR | $493.62–$535.11 | 2 |
| PA | $471.69–$519.67 | 2 |
| PR | $503.43 | 1 |
| RI | $512.02 | 1 |
| SC | $472.07 | 1 |
| SD | $488.70 | 1 |
| TN | $461.73 | 1 |
| TX | $468.74–$517.74 | 8 |
| UT | $478.23 | 1 |
| VA | $489.33–$569.43 | 2 |
| VI | $503.43 | 1 |
| VT | $488.26 | 1 |
| WA | $515.58–$580.16 | 2 |
| WI | $474.20 | 1 |
| WV | $463.60 | 1 |
| WY | $495.58 | 1 |
How the 45385 rate is calculated
Each of 45385’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 · 45385
RVUs × geographic indexes × conversion factor
Work4.46
4.46 RVUs× 1.000 GPCI
Practice expense10.00
10.00 RVUs× 1.000 GPCI
Malpractice0.51
0.51 RVUs× 1.000 GPCI
Adjusted RVUs
14.9700
Conversion factor
$33.4009
Medicare rate
$500.01
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Montana inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
5,520
- Code
- 45385
- Physician work
- 4.46
- Practice expense
- 10.00
- Malpractice
- 0.51
GPCI2026.csv
71
- Locality
- Montana
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.998
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.46 | × 1.000 | 4.4600 |
| Practice expense | 10.00 | × 1.000 | 10.0000 |
| Malpractice | 0.51 | × 0.998 | 0.5090 |
| Total RVUs | 14.9690 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Montana$499.98
Office: (4.46 × 1 + 10 × 1 + 0.51 × 0.998) × $33.4009 = $499.98
Facility: (4.46 × 1 + 1.72 × 1 + 0.51 × 0.998) × $33.4009 = $223.42
Payment rules and modifiers for 45385
The CMS indicators that decide how 45385 is paid alongside other services.
CMS payment indicators · 45385
Snare polypectomy, during colonoscopy
| 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
45385 without 51 · national office
$500.01
Snare polypectomy, during colonoscopy
45385-51 · Second procedure: 50%
$250.01
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%).
How 45385 has changed in Montana
45385 · Office / nonfacility
$499.98
Effective 2026-10-01
The base rate is $64.99 higher than on 2025-10-01, moving from $434.99 to $499.98 (14.9%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$434.99changed to$499.98
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 4.57 changed to 4.46
- Practice expense RVU 8.33 changed to 10.00
- Malpractice RVU 0.56 changed to 0.51
- Malpractice GPCI 0.978 changed to 0.998
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$452.30changed to$434.99
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 8.47 changed to 8.33
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$444.92changed to$452.30
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$460.79changed to$444.92
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 8.49 changed to 8.47
- Malpractice RVU 0.55 changed to 0.56
January 1, 2023
RVU23A
$478.17changed to$460.79
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 8.72 changed to 8.49
- Malpractice RVU 0.54 changed to 0.55
- Malpractice GPCI 0.977 changed to 0.978
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$477.63changed to$478.17
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 8.62 changed to 8.72
- Malpractice RVU 0.51 changed to 0.54
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$462.96changed to$477.63
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 7.58 changed to 8.62
- Malpractice RVU 0.52 changed to 0.51
- Malpractice GPCI 1.304 changed to 0.977
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$460.04changed to$462.96
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 7.20 changed to 7.58
- Malpractice RVU 0.61 changed to 0.52
- Malpractice GPCI 1.631 changed to 1.304
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$450.53changed to$460.04
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 6.95 changed to 7.20
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$443.29changed to$450.53
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 6.91 changed to 6.95
- Malpractice GPCI 1.429 changed to 1.631
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$504.93changed to$443.29
- Conversion factor 35.8043 changed to 35.8887
- Work RVU 4.67 changed to 4.57
- Practice expense RVU 8.66 changed to 6.91
- Malpractice RVU 0.63 changed to 0.61
- Malpractice GPCI 1.226 changed to 1.429
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$541.11changed to$504.93
- Conversion factor 35.9335 changed to 35.8043
- Work RVU 5.30 changed to 4.67
- Practice expense RVU 8.79 changed to 8.66
- Malpractice RVU 0.79 changed to 0.63
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$538.41changed to$541.11
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$535.45changed to$538.41
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 8.75 changed to 8.79
- Malpractice RVU 0.77 changed to 0.79
- Malpractice GPCI 1.165 changed to 1.226
Held through RVU15B.
January 1, 2014
RVU14A
$553.30changed to$535.45
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 10.08 changed to 8.75
- Malpractice RVU 0.80 changed to 0.77
- Malpractice GPCI 1.103 changed to 1.165
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $553.30
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $499.98 | $223.42 | RVU26D |
| 2026-07-01 | $499.98 | $223.42 | RVU26C |
| 2026-04-01 | $499.98 | $223.42 | RVU26B |
| 2026-01-01 | $499.98 | $223.42 | RVU26A |
| 2025-10-01 | $434.99 | $242.52 | RVU25D |
| 2025-07-01 | $434.99 | $242.52 | RVU25C |
| 2025-04-01 | $434.99 | $242.52 | RVU25B |
| 2025-01-01 | $434.99 | $242.52 | RVU25A |
| 2024-10-01 | $452.30 | $248.91 | RVU24D |
| 2024-07-01 | $452.30 | $248.91 | RVU24C |
| 2024-04-01 | $452.30 | $248.91 | RVU24B |
| 2024-03-09 | $452.30 | $248.91 | RVU24AR |
| 2024-01-01 | $444.92 | $244.85 | RVU24A |
| 2023-10-01 | $460.79 | $252.05 | RVU23D |
| 2023-07-01 | $460.79 | $252.05 | RVU23C |
| 2023-04-01 | $460.79 | $252.05 | RVU23B |
| 2023-01-01 | $460.79 | $252.05 | RVU23A |
| 2022-10-01 | $478.17 | $257.39 | RVU22D |
| 2022-07-01 | $478.17 | $257.39 | RVU22C |
| 2022-04-01 | $478.17 | $257.39 | RVU22B |
| 2022-01-01 | $478.17 | $257.39 | RVU22A |
| 2021-10-01 | $477.63 | $257.45 | RVU21D |
| 2021-07-01 | $477.63 | $257.45 | RVU21C |
| 2021-04-01 | $477.63 | $257.45 | RVU21B |
| 2021-01-01 | $477.63 | $257.45 | RVU21A |
| 2020-10-01 | $462.96 | $270.96 | RVU20D |
| 2020-07-01 | $462.96 | $270.96 | RVU20C |
| 2020-04-01 | $462.96 | $270.96 | RVU20B |
| 2020-01-01 | $462.96 | $270.96 | RVU20A |
| 2019-10-01 | $460.04 | $282.36 | RVU19D |
| 2019-07-01 | $460.04 | $282.36 | RVU19C |
| 2019-04-01 | $460.04 | $282.36 | RVU19B |
| 2019-01-01 | $460.04 | $282.36 | RVU19A |
| 2018-10-01 | $450.53 | $283.13 | RVU18D |
| 2018-07-01 | $450.53 | $283.13 | RVU18C |
| 2018-04-01 | $450.53 | $283.13 | RVU18B |
| 2018-01-01 | $450.53 | $283.13 | RVU18AR1 |
| 2017-10-01 | $443.29 | $277.84 | RVU17D |
| 2017-07-01 | $443.29 | $277.84 | RVU17C |
| 2017-04-01 | $443.29 | $277.84 | RVU17B |
| 2017-01-01 | $443.29 | $277.84 | RVU17A |
| 2016-10-01 | $504.93 | $278.64 | RVU16D |
| 2016-07-01 | $504.93 | $278.64 | RVU16C |
| 2016-04-01 | $504.93 | $278.64 | RVU16B |
| 2016-01-01 | $504.93 | $278.64 | RVU16A |
| 2015-10-01 | $541.11 | $321.91 | RVU15D |
| 2015-07-01 | $541.11 | $321.91 | RVU15C |
| 2015-04-01 | $538.41 | $320.31 | RVU15B |
| 2015-01-01 | $538.41 | $320.31 | RVU15A |
| 2014-10-01 | $535.45 | $319.08 | RVU14D |
| 2014-07-01 | $535.45 | $319.08 | RVU14C |
| 2014-04-01 | $535.45 | $319.08 | RVU14B |
| 2014-01-01 | $535.45 | $319.08 | RVU14A |
| 2013-10-01 | $553.30 | $314.79 | RVU13D |
| 2013-07-01 | $553.30 | $314.79 | RVU13C |
| 2013-04-01 | $553.30 | $314.79 | RVU13B |
| 2013-01-01 | $553.30 | $314.79 | RVU13AR |
Where the Montana rate applies
Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.
- Absarokee
- Acton
- Alberton
- Alder
- Alzada
- Amsterdam
- Anaconda-Deer Lodge County
- Antelope
45385 billing questions
How many units are reported when several polyps are removed by snare?
One unit. The code covers all lesions removed by snare during the session, regardless of their number or location.
Can 45380 be reported with 45385 in the same session?
Yes, when a separate lesion is biopsied. Use modifier 59 on 45380 when needed to identify the distinct lesion; a biopsy of the lesion subsequently removed by snare is included in 45385.
What happens when a Medicare screening colonoscopy turns into a polypectomy?
Report 45385 instead of the screening G code and append modifier PT to identify the procedure as a screening that became therapeutic. The Medicare screening-related deductible waiver then applies.
Should 45385 or 45390 be reported when a polyp is lifted with an injection before snaring?
An injection lift alone does not establish endoscopic mucosal resection. Report 45390 when the procedure report supports that resection technique; do not add 45385 or 45381 for the same lesion's resection and lift.
Can a tattoo injection be added to 45385?
A documented submucosal ink injection to mark the polypectomy site may be reported with 45381. When both services are payable, endoscopy family pricing applies.
How do snare and hot biopsy forceps removal differ for coding?
Snare removal, hot or cold, is reported with 45385. Removal with hot biopsy forceps or bipolar cautery is reported with 45384; when different lesions are treated by both methods, a distinct-procedure modifier may be needed.
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
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