CPT code 45540: Rectal prolapse repair, abdominal approach2026 Medicare rate & RVUs in South Dakota

In South Dakota, Medicare pays $903.78 for 45540 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 45540 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 45540 covers

A surgeon uses an abdominal approach to restore and support a prolapsing rectum, commonly by securing it within the pelvis as a rectopexy. The operation is performed for rectal prolapse and is typically done in a hospital operating room by a colorectal or general surgeon. The abdominal approach distinguishes this service from repair through the perineum and from laparoscopic rectopexy codes.

Select this code when the operative report documents an abdominal repair without sigmoid resection; use the separate resection code when sigmoid resection is part of the operation. The report should identify the prolapse, approach, repair performed, and any resection. The day-before preoperative visit and 90 days of related postoperative care are included. In a same-session multiple-procedure case, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Report the repair once; modifier 50 is not appropriate. Assistant-at-surgery payment may be available, co-surgeon payment requires supporting documentation, and team-surgery payment 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 South Dakota compares for 45540

Across 109 of 109 payment localities, the facility rate for 45540 runs from $883.61 in Arkansas to $1,239.77 in Alaska. South Dakota pays $903.78. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

45540 rates by state

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

See 45540 in every payment locality

How the 45540 rate is calculated

Each of 45540’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 45540

45540 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 45540

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

How 45540 has changed in South Dakota

Price 45540 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