CPT code 45562: Rectal injury repair, transabdominal exploration2026 Medicare rate & RVUs in Mississippi

Reports operative abdominal exploration and repair for rectal injury when the surgeon must assess and treat the injury through a transabdominal approach.

CMS RVU26DEffective Oct 1, 2026One payment locality100 Medicare services in 2024

In Mississippi, Medicare pays $1,029.41 for 45562 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$1,029.41Hospital or facility

Check a contract rate as a % of Medicare · 45562 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 45562 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Mississippi
  2. What 45562 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 45562 covers

A surgeon uses an abdominal approach to inspect the rectum and repair an injury that requires operative treatment. This may arise after trauma or as a complication of another procedure. General and colorectal surgeons typically perform the service in an operating room, usually in a facility setting. The operative work centers on identifying the injury and repairing it, rather than treating rectal prolapse or a rectocele.

Documentation should identify the injury, its location and extent, the abdominal approach, and the repair performed. The related 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 other procedures are subject to the standard 50% reduction. Modifier 50 is not appropriate for this service. An assistant at surgery may be paid; 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 Mississippi compares for 45562

Across 109 of 109 payment localities, the facility rate for 45562 runs from $993.56 in Arkansas to $1,378.42 in Miami, FL. Mississippi pays $1,029.41. The RVUs are the same everywhere; the geographic indexes change the dollars.

45562 in Mississippi vs other payment areas
  1. Mississippi · this page$1,029.41
  2. Los Angeles, CA · California$1,164.39+$134.98
  3. Washington, DC area · District of Columbia$1,240.43+$211.02
  4. Miami, FL · Florida$1,378.42+$349.01
  5. Chicago, IL · Illinois$1,332.14+$302.73
  6. Manhattan, NY · New York$1,314.28+$284.87
  7. Alaska · Alaska$1,370.47+$341.06

Other areas in Mississippi first, then benchmark localities. Bars start at $0.

Every other payment area

45562 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$1,007.65
ArkansasArkansas—$993.56
ArizonaArizona—$1,088.90
Bakersfield, CACalifornia—$1,109.73
Chico, CACalifornia—$1,097.13
El Centro, CACalifornia—$1,097.91
Fresno, CACalifornia—$1,097.13
Hanford, CACalifornia—$1,097.13

45562 rates by state

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

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.

View every state and territory as a table
45562 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 45562 in every payment locality

How the 45562 rate is calculated

Each of 45562’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 · 45562

RVUs × geographic indexes × conversion factor

Office or facility?

Work17.53

17.53 RVUs× 1.000 GPCI

Practice expense11.41

11.41 RVUs× 1.000 GPCI

Malpractice4.69

4.69 RVUs× 1.000 GPCI

Adjusted RVUs

33.6300

Conversion factor

$33.4009

Medicare rate

$1,123.27

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

The exact Mississippi inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

5,550

Code
45562
Physician work
17.53
Practice expense
11.41
Malpractice
4.69

GPCI2026.csv

67

Locality
Mississippi
Physician work
1.000
Practice expense
0.861
Malpractice
0.739
Facility calculation for 45562 in Mississippi
ComponentRVULocality factorAdjusted
Physician work17.53× 1.00017.5300
Practice expense11.41× 0.8619.8240
Malpractice4.69× 0.7393.4659
Total RVUs30.8199
Conversion factor× 33.4009

Facility rate, Mississippi$1029.41

Facility: (17.53 × 1 + 11.41 × 0.861 + 4.69 × 0.739) × $33.4009 = $1029.41

Open 45562 in the RVU calculator

Payment rules and modifiers for 45562

45562 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 45562

Rectal injury repair, transabdominal exploration

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are 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)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.09/0.81/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 45562

Rectal injury repair, transabdominal exploration

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

45562 without 51 · national facility

$1,123.27

Rectal injury repair, transabdominal exploration

45562-51 · Second procedure: 50%

$561.64

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

How 45562 has changed in Mississippi

45562 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$1,029.41RVU26D
2026-07-01Not available in this setting$1,029.41RVU26C
2026-04-01Not available in this setting$1,029.41RVU26B
2026-01-01Not available in this setting$1,029.41RVU26A
2025-10-01Not available in this setting$1,048.68RVU25D
2025-07-01Not available in this setting$1,048.68RVU25C
2025-04-01Not available in this setting$1,048.68RVU25B
2025-01-01Not available in this setting$1,048.68RVU25A
2024-10-01Not available in this setting$1,071.70RVU24D
2024-07-01Not available in this setting$1,071.70RVU24C
2024-04-01Not available in this setting$1,071.70RVU24B
2024-03-09Not available in this setting$1,071.70RVU24AR
2024-01-01Not available in this setting$1,054.21RVU24A
2023-10-01Not available in this setting$1,047.93RVU23D
2023-07-01Not available in this setting$1,047.93RVU23C
2023-04-01Not available in this setting$1,047.93RVU23B
2023-01-01Not available in this setting$1,047.93RVU23A
2022-10-01Not available in this setting$1,063.96RVU22D
2022-07-01Not available in this setting$1,063.96RVU22C
2022-04-01Not available in this setting$1,063.96RVU22B
2022-01-01Not available in this setting$1,063.96RVU22A
2021-10-01Not available in this setting$1,056.47RVU21D
2021-07-01Not available in this setting$1,056.47RVU21C
2021-04-01Not available in this setting$1,056.47RVU21B
2021-01-01Not available in this setting$1,056.47RVU21A
2020-10-01Not available in this setting$1,059.76RVU20D
2020-07-01Not available in this setting$1,059.76RVU20C
2020-04-01Not available in this setting$1,059.76RVU20B
2020-01-01Not available in this setting$1,059.76RVU20A
2019-10-01Not available in this setting$1,036.99RVU19D
2019-07-01Not available in this setting$1,036.99RVU19C
2019-04-01Not available in this setting$1,036.99RVU19B
2019-01-01Not available in this setting$1,036.99RVU19A
2018-10-01Not available in this setting$1,032.37RVU18D
2018-07-01Not available in this setting$1,032.37RVU18C
2018-04-01Not available in this setting$1,032.37RVU18B
2018-01-01Not available in this setting$1,032.37RVU18AR1
2017-10-01Not available in this setting$1,047.27RVU17D
2017-07-01Not available in this setting$1,047.27RVU17C
2017-04-01Not available in this setting$1,047.27RVU17B
2017-01-01Not available in this setting$1,047.27RVU17A
2016-10-01Not available in this setting$1,056.76RVU16D
2016-07-01Not available in this setting$1,056.76RVU16C
2016-04-01Not available in this setting$1,056.76RVU16B
2016-01-01Not available in this setting$1,056.76RVU16A
2015-10-01Not available in this setting$1,077.17RVU15D
2015-07-01Not available in this setting$1,077.17RVU15C
2015-04-01Not available in this setting$1,071.81RVU15B
2015-01-01Not available in this setting$1,071.81RVU15A
2014-10-01Not available in this setting$1,056.38RVU14D
2014-07-01Not available in this setting$1,056.38RVU14C
2014-04-01Not available in this setting$1,056.38RVU14B
2014-01-01Not available in this setting$1,056.38RVU14A
2013-10-01Not available in this setting$1,047.80RVU13D
2013-07-01Not available in this setting$1,047.80RVU13C
2013-04-01Not available in this setting$1,047.80RVU13B
2013-01-01Not available in this setting$1,047.80RVU13AR

Price 45562 for an earlier date of service

Where the Mississippi rate applies

Mississippi is a Medicare payment area, not a city. Our Census mapping connects it to 427 cities and communities in Mississippi. Some span more than one payment area; confirm with the service ZIP.

  • Abbeville
  • Aberdeen
  • Ackerman
  • Agricola
  • Alcorn State University
  • Algoma
  • Alligator
  • Amory

Browse all communities in Mississippi

45562 billing questions

How does 45562 differ from 45563?

45563 is the related option when the rectal injury repair is performed with a colostomy. Use 45562 when the documented service is the transabdominal exploration and repair without that additional procedure.

What documentation supports reporting 45562?

The operative report should describe the rectal injury, its location and extent, the transabdominal approach, and the repair performed.

Can modifier 50 be used?

No. The service is not reported bilaterally, so modifier 50 is inappropriate.

How does the 90-day global period affect postoperative billing?

The day-before preoperative visit and 90 days of related postoperative care are included in the global period.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

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 45562PPRRVU2026_Oct_nonQPP.csv, line 5,550 (RVU26D)
Geographic factors for MississippiGPCI2026.csv, line 67 (RVU26D)

Open CMS sourceHow we calculate rates

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