FeeBase
Log inGet started
Menu

CPT code 45520: Rectal prolapse treatment, local treatment, any method2026 Medicare rate & RVUs in Washington, DC area

Reports a local treatment for rectal prolapse, such as injection therapy, rather than a formal abdominal or perineal prolapse repair.

CMS RVU26DEffective Oct 1, 2026One payment locality186 Medicare services in 2024

In Washington, DC area, Medicare pays $196.31 for 45520 in the office and $42.07 when it’s performed in a hospital or facility.

$196.31Office (non-facility)
$42.07Hospital or facility
+16.4%vs the national office rate ($168.67)

Check a contract rate as a % of Medicare · 45520 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 45520 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 45520 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 45520 covers

This service covers a treatment directed at rectal prolapse without the formal abdominal or perineal repair described by the related repair codes. A colorectal or general surgeon may perform a local treatment, such as injection therapy, in an outpatient setting. The record should identify the prolapse and the treatment method performed so the service can be distinguished from repair of the rectum or surgery to correct prolapse through an abdominal or perineal approach.

Report the service based on the treatment actually performed, not simply the diagnosis of prolapse. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery; 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 Washington, DC area compares for 45520

Across 109 of 109 payment localities, the office rate for 45520 runs from $146.63 in Arkansas to $235.12 in San Benito County, CA. Washington, DC area pays $196.31. The RVUs are the same everywhere; the geographic indexes change the dollars.

45520 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$196.31
  2. Los Angeles, CA · California$195.77−$0.54
  3. Miami, FL · Florida$178.33−$17.98
  4. Chicago, IL · Illinois$172.57−$23.74
  5. Manhattan, NY · New York$195.22−$1.09
  6. Alaska · Alaska$186.28−$10.03
  7. Alabama · Alabama$149.12−$47.19

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

45520 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$146.63$34.16
ArizonaArizona$163.74$36.87
Bakersfield, CACalifornia$182.34$38.84
Chico, CACalifornia$182.13$38.63
El Centro, CACalifornia$182.14$38.64
Fresno, CACalifornia$182.13$38.63
Hanford, CACalifornia$182.13$38.63
Madera, CACalifornia$182.13$38.63

45520 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$146.63

$208.63

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
45520 office rate range by state
State / territoryOffice rate rangeLocalities
AK$186.281
AL$149.121
AR$146.631
AZ$163.741
CA$182.13–$235.1229
CO$177.871
CT$180.951
DC$196.311
DE$166.751
FL$163.33–$178.333
GA$153.11–$171.572
GU$188.011
HI$188.011
IA$154.661
ID$155.581
IL$157.09–$174.614
IN$156.651
KS$153.281
KY$152.011
LA$151.52–$160.242
MA$176.35–$197.932
MD$170.44–$196.313
ME$155.93–$166.482
MI$156.07–$165.092
MN$171.331
MO$148.15–$161.563
MS$147.451
MT$168.671
NC$157.891
ND$167.291
NE$155.801
NH$174.461
NJ$183.27–$193.702
NM$156.841
NV$168.431
NY$160.57–$199.865
OH$155.791
OK$152.291
OR$167.39–$184.832
PA$156.39–$175.532
PR$170.271
RI$173.661
SC$157.051
SD$167.121
TN$154.101
TX$155.16–$177.058
UT$159.541
VA$165.47–$196.312
VI$170.271
VT$166.041
WA$176.21–$202.812
WI$160.831
WV$150.251
WY$168.071

See 45520 in every payment locality

How the 45520 rate is calculated

Each of 45520’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 · 45520

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.54

0.54 RVUs× 1.000 GPCI

Practice expense4.44

4.44 RVUs× 1.000 GPCI

Malpractice0.07

0.07 RVUs× 1.000 GPCI

Adjusted RVUs

5.0500

Conversion factor

$33.4009

Medicare rate

$168.67

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

5,541

Code
45520
Physician work
0.54
Practice expense
4.44
Malpractice
0.07

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 45520 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work0.54× 1.0540.5692
Practice expense4.44× 1.1785.2303
Malpractice0.07× 1.1130.0779
Total RVUs5.8774
Conversion factor× 33.4009

Office rate, Washington, DC area$196.31

Office: (0.54 × 1.054 + 4.44 × 1.178 + 0.07 × 1.113) × $33.4009 = $196.31

Facility: (0.54 × 1.054 + 0.52 × 1.178 + 0.07 × 1.113) × $33.4009 = $42.07

Open 45520 in the RVU calculator

Payment rules and modifiers for 45520

The CMS indicators that decide how 45520 is paid alongside other services.

CMS payment indicators · 45520

Rectal prolapse treatment, local treatment, any method

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

45520 without 51 · national office

$168.67

Rectal prolapse treatment, local treatment, any method

45520-51 · Second procedure: 50%

$84.34

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%).

When to use modifier 51

Codes related to 45520

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

Codes related to 45520
CodeHow it relatesOffice range, Washington, DC area
Used instead
45540Rectal prolapse repair, abdominal approachAbdominal approach repair for rectal prolapse rather than local treatment.No office rate
45541Prolapse repair, perineal approachPerineal approach repair for rectal prolapse rather than local treatment.No office rate
45550Rectal repair, with sigmoid resectionAbdominal prolapse repair that includes sigmoid resection.No office rate

How 45520 has changed in Washington, DC area

45520 · Office / nonfacility

$196.31

Effective 2026-10-01

The base rate is $16.38 higher than on 2025-10-01, moving from $179.93 to $196.31 (9.1%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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

  1. January 1, 2026

    RVU26A

    $179.93changed to$196.31

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.55 changed to 0.54
    • Practice expense RVU 4.12 changed to 4.44
    • Malpractice RVU 0.06 changed to 0.07
    • Work GPCI 1.057 changed to 1.054
    • Practice expense GPCI 1.192 changed to 1.178
    • Malpractice GPCI 1.168 changed to 1.113

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $190.31changed to$179.93

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 4.24 changed to 4.12
    • Malpractice RVU 0.07 changed to 0.06

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $187.20changed to$190.31

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $199.50changed to$187.20

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 4.30 changed to 4.24
    • Work GPCI 1.056 changed to 1.057
    • Practice expense GPCI 1.214 changed to 1.192
    • Malpractice GPCI 1.231 changed to 1.168

  5. January 1, 2023

    RVU23A

    $207.14changed to$199.50

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 4.29 changed to 4.30
    • Malpractice RVU 0.08 changed to 0.07
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.236 changed to 1.214
    • Malpractice GPCI 1.294 changed to 1.231

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $211.41changed to$207.14

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 4.37 changed to 4.29
    • Malpractice RVU 0.06 changed to 0.08

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $192.84changed to$211.41

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 3.82 changed to 4.37
    • Malpractice RVU 0.08 changed to 0.06
    • Work GPCI 1.049 changed to 1.054
    • Practice expense GPCI 1.221 changed to 1.236
    • Malpractice GPCI 1.277 changed to 1.294

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $188.50changed to$192.84

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 3.78 changed to 3.82
    • Work GPCI 1.045 changed to 1.049
    • Practice expense GPCI 1.205 changed to 1.221
    • Malpractice GPCI 1.261 changed to 1.277

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $190.90changed to$188.50

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 3.84 changed to 3.78

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $188.21changed to$190.90

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 3.80 changed to 3.84
    • Malpractice RVU 0.07 changed to 0.08
    • Work GPCI 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $190.01changed to$188.21

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 3.85 changed to 3.80
    • Work GPCI 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $193.27changed to$190.01

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 3.92 changed to 3.85
    • Malpractice RVU 0.06 changed to 0.07

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $192.30changed to$193.27

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $189.06changed to$192.30

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 3.84 changed to 3.92
    • Malpractice RVU 0.07 changed to 0.06
    • Work GPCI 1.050 changed to 1.051
    • Practice expense GPCI 1.202 changed to 1.205
    • Malpractice GPCI 1.205 changed to 1.280

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $197.99changed to$189.06

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 4.31 changed to 3.84
    • Work GPCI 1.049 changed to 1.050
    • Practice expense GPCI 1.198 changed to 1.202
    • Malpractice GPCI 1.130 changed to 1.205

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $197.99

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$196.31$42.07RVU26D
2026-07-01$196.31$42.07RVU26C
2026-04-01$196.31$42.07RVU26B
2026-01-01$196.31$42.07RVU26A
2025-10-01$179.93$44.59RVU25D
2025-07-01$179.93$44.59RVU25C
2025-04-01$179.93$44.59RVU25B
2025-01-01$179.93$44.59RVU25A
2024-10-01$190.31$45.88RVU24D
2024-07-01$190.31$45.88RVU24C
2024-04-01$190.31$45.88RVU24B
2024-03-09$190.31$45.88RVU24AR
2024-01-01$187.20$45.13RVU24A
2023-10-01$199.50$46.46RVU23D
2023-07-01$199.50$46.46RVU23C
2023-04-01$199.50$46.46RVU23B
2023-01-01$199.50$46.46RVU23A
2022-10-01$207.14$47.17RVU22D
2022-07-01$207.14$47.17RVU22C
2022-04-01$207.14$47.17RVU22B
2022-01-01$207.14$47.17RVU22A
2021-10-01$211.41$46.23RVU21D
2021-07-01$211.41$46.23RVU21C
2021-04-01$211.41$46.23RVU21B
2021-01-01$211.41$46.23RVU21A
2020-10-01$192.84$47.42RVU20D
2020-07-01$192.84$47.42RVU20C
2020-04-01$192.84$47.42RVU20B
2020-01-01$192.84$47.42RVU20A
2019-10-01$188.50$47.37RVU19D
2019-07-01$188.50$47.37RVU19C
2019-04-01$188.50$47.37RVU19B
2019-01-01$188.50$47.37RVU19A
2018-10-01$190.90$47.75RVU18D
2018-07-01$190.90$47.75RVU18C
2018-04-01$190.90$47.75RVU18B
2018-01-01$190.90$47.75RVU18AR1
2017-10-01$188.21$47.66RVU17D
2017-07-01$188.21$47.66RVU17C
2017-04-01$188.21$47.66RVU17B
2017-01-01$188.21$47.66RVU17A
2016-10-01$190.01$47.20RVU16D
2016-07-01$190.01$47.20RVU16C
2016-04-01$190.01$47.20RVU16B
2016-01-01$190.01$47.20RVU16A
2015-10-01$193.27$47.35RVU15D
2015-07-01$193.27$47.35RVU15C
2015-04-01$192.30$47.11RVU15B
2015-01-01$192.30$47.11RVU15A
2014-10-01$189.06$47.39RVU14D
2014-07-01$189.06$47.39RVU14C
2014-04-01$189.06$47.39RVU14B
2014-01-01$189.06$47.39RVU14A
2013-10-01$197.99$46.78RVU13D
2013-07-01$197.99$46.78RVU13C
2013-04-01$197.99$46.78RVU13B
2013-01-01$197.99$46.78RVU13AR

Price 45520 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

45520 billing questions

When should this code be chosen over a prolapse repair code?

Use it for a local treatment, such as injection therapy, rather than a formal abdominal or perineal repair. Select a repair code when the operative service matches that approach and repair.

What documentation supports reporting this service?

Document the rectal prolapse, the method used to treat it, and the work performed. The record should make clear that the service was not an abdominal or perineal repair.

Is same-day care included in the service?

Yes. The 0-day global period includes same-day preoperative and postoperative care.

Can modifier 50 or an assistant-at-surgery claim be reported?

Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery, and co-surgeons and team surgery are not permitted.

How is this code affected when another procedure is performed in the same session?

The highest-valued procedure is paid in full, and other procedures are subject to the standard 50% multiple-procedure reduction.

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
RVUs for 45520PPRRVU2026_Oct_nonQPP.csv, line 5,541 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 45520 pays in Washington, DC area?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 45520 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist