CPT code 45505: Rectal repair, transanal approach2026 Medicare rate & RVUs in Brazoria, TX

In Brazoria, TX, Medicare pays $583.19 for 45505 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 45505 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 45505 covers

This service involves reaching a rectal defect through the anal canal and closing it directly. A colorectal or general surgeon may perform it for a localized rectal wall injury or defect that can be exposed and repaired from below, typically in an operating room. The operative approach distinguishes this service from repairs requiring perineal or abdominal access.

Select the code from the approach and work documented, not from the diagnosis alone. The operative report should identify the rectal defect, its location, the transanal access, and the repair performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this code; 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 Brazoria, TX compares for 45505

Across 109 of 109 payment localities, the facility rate for 45505 runs from $532.03 in Arkansas to $726.17 in Alaska. Brazoria, TX pays $583.19. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

45505 rates by state

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

See 45505 in every payment locality

How the 45505 rate is calculated

Each of 45505’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 45505

45505 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 45505

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

How 45505 has changed in Brazoria, TX

Price 45505 for an earlier date of service

Where the Brazoria, TX rate applies

Brazoria, TX is a Medicare payment area, not a city. Our Census mapping connects it to 28 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

• 45505 in Brazoria
• 45505 in Alvin
• 45505 in Angleton
• 45505 in Bailey's Prairie
• 45505 in Bonney
• 45505 in Brookside Village
• 45505 in Clute
• 45505 in Damon

Browse all communities in Texas

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