CPT code 45562: Rectal injury repair, transabdominal exploration2026 Medicare rate & RVUs in Ohio
Reports operative abdominal exploration and repair for rectal injury when the surgeon must assess and treat the injury through a transabdominal approach.
In Ohio, Medicare pays $1,091.37 for 45562 in a facility. There’s no office rate.
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.
On this page 11 sections
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 Ohio 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. Ohio pays $1,091.37. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Ohio · this page$1,091.37
- Los Angeles, CA · California$1,164.39+$73.02
- Washington, DC area · District of Columbia$1,240.43+$149.06
- Miami, FL · Florida$1,378.42+$287.05
- Chicago, IL · Illinois$1,332.14+$240.77
- Manhattan, NY · New York$1,314.28+$222.91
- Alaska · Alaska$1,370.47+$279.10
Other areas in Ohio first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | — | $1,097.13 |
| Merced, CACalifornia | — | $1,097.13 |
| Modesto, CACalifornia | — | $1,097.13 |
| Napa, CACalifornia | — | $1,204.28 |
| Oxnard, CACalifornia | — | $1,149.97 |
| Redding, CACalifornia | — | $1,097.13 |
| Rest of CaliforniaCalifornia | — | $1,097.13 |
| Riverside, CACalifornia | — | $1,147.37 |
| Sacramento, CACalifornia | — | $1,133.79 |
| Salinas, CACalifornia | — | $1,129.33 |
| San Diego, CACalifornia | — | $1,143.79 |
| Marin County, CACalifornia | — | $1,250.40 |
| San Francisco, CACalifornia | — | $1,245.08 |
| San Benito County, CACalifornia | — | $1,283.44 |
| Santa Clara County, CACalifornia | — | $1,261.67 |
| San Luis Obispo, CACalifornia | — | $1,113.51 |
| Santa Cruz, CACalifornia | — | $1,144.82 |
| Santa Maria, CACalifornia | — | $1,130.24 |
| Santa Rosa, CACalifornia | — | $1,155.04 |
| Stockton, CACalifornia | — | $1,097.13 |
| Vallejo, CACalifornia | — | $1,196.60 |
| Visalia, CACalifornia | — | $1,097.13 |
| Yuba City, CACalifornia | — | $1,097.13 |
| ColoradoColorado | — | $1,120.38 |
| ConnecticutConnecticut | — | $1,197.22 |
| DelawareDelaware | — | $1,105.80 |
| Fort Lauderdale, FLFlorida | — | $1,254.80 |
| Rest of FloridaFlorida | — | $1,185.30 |
| Atlanta, GAGeorgia | — | $1,162.61 |
| Rest of GeorgiaGeorgia | — | $1,112.19 |
| Hawaii, Guam, HIHawaii | — | $1,109.53 |
| IowaIowa | — | $996.42 |
| IdahoIdaho | — | $1,010.23 |
| East St. Louis, ILIllinois | — | $1,251.63 |
| Rest of IllinoisIllinois | — | $1,178.31 |
| Suburban Chicago, ILIllinois | — | $1,258.59 |
| IndianaIndiana | — | $1,014.93 |
| KansasKansas | — | $1,008.99 |
| KentuckyKentucky | — | $1,067.65 |
| New Orleans, LALouisiana | — | $1,122.09 |
| Rest of LouisianaLouisiana | — | $1,072.87 |
| Metropolitan Boston, MAMassachusetts | — | $1,203.98 |
| Rest of MassachusettsMassachusetts | — | $1,121.04 |
| Baltimore area, MDMaryland | — | $1,197.59 |
| Rest of MarylandMaryland | — | $1,120.86 |
| Rest of MaineMaine | — | $1,033.57 |
| Southern Maine, MEMaine | — | $1,062.04 |
| Detroit, MIMichigan | — | $1,217.40 |
| Rest of MichiganMichigan | — | $1,110.32 |
| MinnesotaMinnesota | — | $1,024.04 |
| Metropolitan Kansas City, MOMissouri | — | $1,096.42 |
| Metropolitan St. Louis, MOMissouri | — | $1,105.29 |
| Rest of MissouriMissouri | — | $1,066.61 |
| MississippiMississippi | — | $1,029.41 |
| MontanaMontana | — | $1,122.96 |
| North CarolinaNorth Carolina | — | $1,041.19 |
| North DakotaNorth Dakota | — | $1,030.22 |
| NebraskaNebraska | — | $996.49 |
| New HampshireNew Hampshire | — | $1,119.32 |
| Northern New JerseyNew Jersey | — | $1,231.79 |
| Rest of New JerseyNew Jersey | — | $1,196.95 |
| New MexicoNew Mexico | — | $1,123.13 |
| NevadaNevada | — | $1,097.49 |
| NYC suburbs and Long Island, NYNew York | — | $1,367.02 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,218.72 |
| Queens, NYNew York | — | $1,299.35 |
| Rest of New YorkNew York | — | $1,057.69 |
| OklahomaOklahoma | — | $1,047.56 |
| Portland, OROregon | — | $1,134.84 |
| Rest of OregonOregon | — | $1,075.22 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,179.67 |
| Rest of PennsylvaniaPennsylvania | — | $1,083.41 |
| Puerto RicoPuerto Rico | — | $1,125.11 |
| Rhode IslandRhode Island | — | $1,130.06 |
| South CarolinaSouth Carolina | — | $1,070.81 |
| South DakotaSouth Dakota | — | $1,019.26 |
| TennesseeTennessee | — | $1,016.06 |
| Austin, TXTexas | — | $1,128.69 |
| Beaumont, TXTexas | — | $1,077.85 |
| Brazoria, TXTexas | — | $1,090.06 |
| Dallas, TXTexas | — | $1,104.77 |
| Fort Worth, TXTexas | — | $1,103.00 |
| Galveston, TXTexas | — | $1,098.34 |
| Houston, TXTexas | — | $1,184.19 |
| Rest of TexasTexas | — | $1,088.64 |
| UtahUtah | — | $1,084.43 |
| VirginiaVirginia | — | $1,070.74 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,125.11 |
| VermontVermont | — | $1,042.08 |
| Rest of WashingtonWashington | — | $1,113.64 |
| King County, WAWashington | — | $1,210.39 |
| WisconsinWisconsin | — | $998.86 |
| West VirginiaWest Virginia | — | $1,140.86 |
| WyomingWyoming | — | $1,082.54 |
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
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
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 Ohio 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
85
- Locality
- Ohio
- Physician work
- 1.000
- Practice expense
- 0.913
- Malpractice
- 1.008
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 17.53 | × 1.000 | 17.5300 |
| Practice expense | 11.41 | × 0.913 | 10.4173 |
| Malpractice | 4.69 | × 1.008 | 4.7275 |
| Total RVUs | 32.6748 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Ohio$1091.37
Facility: (17.53 × 1 + 11.41 × 0.913 + 4.69 × 1.008) × $33.4009 = $1091.37
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.81/0.10 | Share 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.
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%).
How 45562 has changed in Ohio
45562 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $1,091.37 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,091.37 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,091.37 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,091.37 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,112.40 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,112.40 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,112.40 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,112.40 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,137.04 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,137.04 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,137.04 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,137.04 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,118.48 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,117.86 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,117.86 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,117.86 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,117.86 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,149.90 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,149.90 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,149.90 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,149.90 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,138.93 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,138.93 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,138.93 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,138.93 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,153.43 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,153.43 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,153.43 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,153.43 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,137.57 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,137.57 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,137.57 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,137.57 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,130.00 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,130.00 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,130.00 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,130.00 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,135.60 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,135.60 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,135.60 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,135.60 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,128.45 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,128.45 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,128.45 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,128.45 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,157.15 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,157.15 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,151.39 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,151.39 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,128.45 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,128.45 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,128.45 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,128.45 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,127.44 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,127.44 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,127.44 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,127.44 | RVU13AR |
Where the Ohio rate applies
Ohio is a Medicare payment area, not a city. Our Census mapping connects it to 1265 cities and communities in Ohio. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Ada
- Adamsville
- Addyston
- Adelphi
- Adena
- Ai
- Akron
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
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