CPT code 45400: Rectopexy, laparoscopic, without resection2026 Medicare rate & RVUs in Wisconsin

In Wisconsin, Medicare pays $954.22 for 45400 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 45400 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 45400 covers

This operation uses a laparoscopic approach to secure the rectum in the pelvis for treatment of rectal prolapse. It is typically performed by a colorectal or general surgeon in a hospital or other surgical facility. This code describes proctopexy without sigmoid resection; when sigmoid resection is part of the prolapse operation, a different code applies.

Report the procedure performed, supported by documentation of the prolapse, laparoscopic approach, rectopexy, and whether sigmoid resection was done. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others are subject to the standard 50% reduction. Modifier 50 is inappropriate for this code. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is 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 Wisconsin compares for 45400

Across 109 of 109 payment localities, the facility rate for 45400 runs from $947.82 in Arkansas to $1,329.98 in Alaska. Wisconsin pays $954.22. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

45400 rates by state

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

See 45400 in every payment locality

How the 45400 rate is calculated

Each of 45400’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 45400

45400 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

Codes related to 45400

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

How 45400 has changed in Wisconsin

Price 45400 for an earlier date of service

Where the Wisconsin rate applies

Wisconsin is a Medicare payment area, not a city. Our Census mapping connects it to 807 cities and communities in Wisconsin. Some span more than one payment area; confirm with the service ZIP.

• Abbotsford
• Abrams
• Adams
• Adell
• Albany
• Algoma
• Allens Grove
• Allenton

Browse all communities in Wisconsin

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