CPT code 45550: Rectal repair, with sigmoid resection2026 Medicare rate & RVUs in Puerto Rico

In Puerto Rico, Medicare pays $1,354.42 for 45550 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 45550 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 45550 covers

A colorectal or general surgeon performs this abdominal operation to repair or support the rectum while removing a segment of sigmoid colon. A common setting is surgery for rectal prolapse when the surgeon also resects sigmoid colon, such as when the sigmoid is redundant. The operative report should make clear that both the rectal repair and sigmoid resection were performed; the code is not selected just because a patient has rectal prolapse or undergoes a sigmoid resection alone.

Report the service for the combined work documented in the operative note, including the abdominal approach, rectal repair, and sigmoid resection. This major surgery has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When other procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate for this operation. Assistant-at-surgery payment may be available; co-surgeon payment requires 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 Puerto Rico compares for 45550

Across 109 of 109 payment localities, the facility rate for 45550 runs from $1,222.97 in Arkansas to $1,713.00 in Alaska. Puerto Rico pays $1,354.42. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

45550 rates by state

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

See 45550 in every payment locality

How the 45550 rate is calculated

Each of 45550’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 45550

45550 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 45550

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

How 45550 has changed in Puerto Rico

Price 45550 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

• Aceitunas
• Adjuntas
• Aguada
• Aguadilla
• Aguas Buenas
• Aguas Claras
• Aguilita
• Aibonito

Browse all communities in Puerto Rico

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