CPT code 45910: Rectal dilation, under anesthesia2026 Medicare rate & RVUs in Rhode Island
Dilation of a documented rectal stricture under anesthesia other than local, reported when the narrowed rectal segment is mechanically or balloon-expanded.
In Rhode Island, Medicare pays $190.69 for 45910 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 45910 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 45910 covers
This service treats a narrowed rectal segment by expanding the stricture, for example with a balloon or other dilation instrument. A colorectal or general surgeon typically performs the procedure in an operating or procedure room with anesthesia beyond local anesthesia. The clinical problem is a rectal narrowing requiring dilation, not simply a tight anal sphincter or a rectal obstruction that is removed.
Report the code when the operative note identifies the rectal stricture and documents its dilation and the anesthesia used. The 10-day global period includes related postoperative visits during that period. If multiple 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 code. Medicare does not pay an assistant at surgery for this service, and 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 Rhode Island compares for 45910
Across 109 of 109 payment localities, the facility rate for 45910 runs from $169.11 in Arkansas to $232.42 in Alaska. Rhode Island pays $190.69. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Rhode Island · this page$190.69
- Los Angeles, CA · California$200.95+$10.26
- Washington, DC area · District of Columbia$208.96+$18.27
- Miami, FL · Florida$215.81+$25.12
- Chicago, IL · Illinois$209.85+$19.16
- Manhattan, NY · New York$216.21+$25.52
- Alaska · Alaska$232.42+$41.73
Other areas in Rhode Island first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $171.19 |
| ArkansasArkansas | — | $169.11 |
| ArizonaArizona | — | $183.28 |
| Bakersfield, CACalifornia | — | $191.14 |
| Chico, CACalifornia | — | $189.79 |
| El Centro, CACalifornia | — | $189.87 |
| Fresno, CACalifornia | — | $189.79 |
| Hanford, CACalifornia | — | $189.79 |
| Madera, CACalifornia | — | $189.79 |
| Merced, CACalifornia | — | $189.79 |
| Modesto, CACalifornia | — | $189.79 |
| Napa, CACalifornia | — | $211.18 |
| Oxnard, CACalifornia | — | $199.01 |
| Redding, CACalifornia | — | $189.79 |
| Rest of CaliforniaCalifornia | — | $189.79 |
| Riverside, CACalifornia | — | $194.96 |
| Sacramento, CACalifornia | — | $196.85 |
| Salinas, CACalifornia | — | $196.07 |
| San Diego, CACalifornia | — | $199.01 |
| Marin County, CACalifornia | — | $220.65 |
| San Francisco, CACalifornia | — | $220.11 |
| San Benito County, CACalifornia | — | $225.81 |
| Santa Clara County, CACalifornia | — | $223.58 |
| San Luis Obispo, CACalifornia | — | $193.19 |
| Santa Cruz, CACalifornia | — | $199.58 |
| Santa Maria, CACalifornia | — | $196.35 |
| Santa Rosa, CACalifornia | — | $201.44 |
| Stockton, CACalifornia | — | $189.79 |
| Vallejo, CACalifornia | — | $210.40 |
| Visalia, CACalifornia | — | $189.79 |
| Yuba City, CACalifornia | — | $189.79 |
| ColoradoColorado | — | $190.72 |
| ConnecticutConnecticut | — | $199.37 |
| DelawareDelaware | — | $185.94 |
| Fort Lauderdale, FLFlorida | — | $202.03 |
| Rest of FloridaFlorida | — | $192.63 |
| Atlanta, GAGeorgia | — | $192.81 |
| Rest of GeorgiaGeorgia | — | $182.58 |
| Hawaii, Guam, HIHawaii | — | $192.14 |
| IowaIowa | — | $171.65 |
| IdahoIdaho | — | $173.27 |
| East St. Louis, ILIllinois | — | $197.97 |
| Rest of IllinoisIllinois | — | $190.19 |
| Suburban Chicago, ILIllinois | — | $203.21 |
| IndianaIndiana | — | $174.03 |
| KansasKansas | — | $172.50 |
| KentuckyKentucky | — | $177.90 |
| New Orleans, LALouisiana | — | $185.56 |
| Rest of LouisianaLouisiana | — | $178.27 |
| Metropolitan Boston, MAMassachusetts | — | $205.45 |
| Rest of MassachusettsMassachusetts | — | $190.47 |
| Baltimore area, MDMaryland | — | $199.11 |
| Rest of MarylandMaryland | — | $188.61 |
| Rest of MaineMaine | — | $175.65 |
| Southern Maine, MEMaine | — | $181.42 |
| Detroit, MIMichigan | — | $196.27 |
| Rest of MichiganMichigan | — | $183.23 |
| MinnesotaMinnesota | — | $179.06 |
| Metropolitan Kansas City, MOMissouri | — | $182.85 |
| Metropolitan St. Louis, MOMissouri | — | $184.28 |
| Rest of MissouriMissouri | — | $176.71 |
| MississippiMississippi | — | $172.86 |
| MontanaMontana | — | $188.02 |
| North CarolinaNorth Carolina | — | $176.96 |
| North DakotaNorth Dakota | — | $178.52 |
| NebraskaNebraska | — | $171.98 |
| New HampshireNew Hampshire | — | $189.29 |
| Northern New JerseyNew Jersey | — | $207.65 |
| Rest of New JerseyNew Jersey | — | $200.60 |
| New MexicoNew Mexico | — | $184.70 |
| NevadaNevada | — | $185.45 |
| NYC suburbs and Long Island, NYNew York | — | $222.69 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $203.11 |
| Queens, NYNew York | — | $215.48 |
| Rest of New YorkNew York | — | $179.33 |
| OhioOhio | — | $181.29 |
| OklahomaOklahoma | — | $176.00 |
| Portland, OROregon | — | $194.22 |
| Rest of OregonOregon | — | $182.97 |
| Metropolitan Philadelphia, PAPennsylvania | — | $196.06 |
| Rest of PennsylvaniaPennsylvania | — | $180.67 |
| Puerto RicoPuerto Rico | — | $188.68 |
| South CarolinaSouth Carolina | — | $179.63 |
| South DakotaSouth Dakota | — | $177.40 |
| TennesseeTennessee | — | $173.42 |
| Austin, TXTexas | — | $191.00 |
| Beaumont, TXTexas | — | $179.78 |
| Brazoria, TXTexas | — | $184.55 |
| Dallas, TXTexas | — | $186.29 |
| Fort Worth, TXTexas | — | $185.71 |
| Galveston, TXTexas | — | $185.48 |
| Houston, TXTexas | — | $194.26 |
| Rest of TexasTexas | — | $182.45 |
| UtahUtah | — | $181.66 |
| VirginiaVirginia | — | $181.99 |
| Virgin Islands, VIUnited States Virgin Islands | — | $188.68 |
| VermontVermont | — | $179.34 |
| Rest of WashingtonWashington | — | $189.62 |
| King County, WAWashington | — | $207.73 |
| WisconsinWisconsin | — | $173.63 |
| West VirginiaWest Virginia | — | $184.59 |
| WyomingWyoming | — | $183.88 |
45910 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 45910 rate is calculated
Each of 45910’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 · 45910
RVUs × geographic indexes × conversion factor
Work2.78
2.78 RVUs× 1.000 GPCI
Practice expense2.37
2.37 RVUs× 1.000 GPCI
Malpractice0.48
0.48 RVUs× 1.000 GPCI
Adjusted RVUs
5.6300
Conversion factor
$33.4009
Medicare rate
$188.05
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Rhode Island inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
5,566
- Code
- 45910
- Physician work
- 2.78
- Practice expense
- 2.37
- Malpractice
- 0.48
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.78 | × 1.019 | 2.8328 |
| Practice expense | 2.37 | × 1.033 | 2.4482 |
| Malpractice | 0.48 | × 0.892 | 0.4282 |
| Total RVUs | 5.7092 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Rhode Island$190.69
Facility: (2.78 × 1.019 + 2.37 × 1.033 + 0.48 × 0.892) × $33.4009 = $190.69
Payment rules and modifiers for 45910
45910 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 45910
Rectal dilation, under anesthesia
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 010 | Minor procedure: the day of the procedure plus 10 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) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.80/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 45910
Rectal dilation, under anesthesia
10-day global period ends
Oct 11, 2026
Covers Oct 1, 2026 through Oct 11, 2026 (11 days).
Visit on Oct 31, 2026
After the global period ends: visits and procedures are billed normally.
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
45910 without 51 · national facility
$188.05
Rectal dilation, under anesthesia
45910-51 · Second procedure: 50%
$94.03
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 45910 has changed in Rhode Island
45910 · 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 | $190.69 | RVU26D |
| 2026-07-01 | Not available in this setting | $190.69 | RVU26C |
| 2026-04-01 | Not available in this setting | $190.69 | RVU26B |
| 2026-01-01 | Not available in this setting | $190.69 | RVU26A |
| 2025-10-01 | Not available in this setting | $192.92 | RVU25D |
| 2025-07-01 | Not available in this setting | $192.92 | RVU25C |
| 2025-04-01 | Not available in this setting | $192.92 | RVU25B |
| 2025-01-01 | Not available in this setting | $192.92 | RVU25A |
| 2024-10-01 | Not available in this setting | $196.92 | RVU24D |
| 2024-07-01 | Not available in this setting | $196.92 | RVU24C |
| 2024-04-01 | Not available in this setting | $196.92 | RVU24B |
| 2024-03-09 | Not available in this setting | $196.92 | RVU24AR |
| 2024-01-01 | Not available in this setting | $193.71 | RVU24A |
| 2023-10-01 | Not available in this setting | $199.96 | RVU23D |
| 2023-07-01 | Not available in this setting | $199.96 | RVU23C |
| 2023-04-01 | Not available in this setting | $199.96 | RVU23B |
| 2023-01-01 | Not available in this setting | $199.96 | RVU23A |
| 2022-10-01 | Not available in this setting | $204.35 | RVU22D |
| 2022-07-01 | Not available in this setting | $204.35 | RVU22C |
| 2022-04-01 | Not available in this setting | $204.35 | RVU22B |
| 2022-01-01 | Not available in this setting | $204.35 | RVU22A |
| 2021-10-01 | Not available in this setting | $202.48 | RVU21D |
| 2021-07-01 | Not available in this setting | $202.48 | RVU21C |
| 2021-04-01 | Not available in this setting | $202.48 | RVU21B |
| 2021-01-01 | Not available in this setting | $202.48 | RVU21A |
| 2020-10-01 | Not available in this setting | $206.18 | RVU20D |
| 2020-07-01 | Not available in this setting | $206.18 | RVU20C |
| 2020-04-01 | Not available in this setting | $206.18 | RVU20B |
| 2020-01-01 | Not available in this setting | $206.18 | RVU20A |
| 2019-10-01 | Not available in this setting | $206.03 | RVU19D |
| 2019-07-01 | Not available in this setting | $206.03 | RVU19C |
| 2019-04-01 | Not available in this setting | $206.03 | RVU19B |
| 2019-01-01 | Not available in this setting | $206.03 | RVU19A |
| 2018-10-01 | Not available in this setting | $208.04 | RVU18D |
| 2018-07-01 | Not available in this setting | $208.04 | RVU18C |
| 2018-04-01 | Not available in this setting | $208.04 | RVU18B |
| 2018-01-01 | Not available in this setting | $208.04 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $205.25 | RVU17D |
| 2017-07-01 | Not available in this setting | $205.25 | RVU17C |
| 2017-04-01 | Not available in this setting | $205.25 | RVU17B |
| 2017-01-01 | Not available in this setting | $205.25 | RVU17A |
| 2016-10-01 | Not available in this setting | $203.08 | RVU16D |
| 2016-07-01 | Not available in this setting | $203.08 | RVU16C |
| 2016-04-01 | Not available in this setting | $203.08 | RVU16B |
| 2016-01-01 | Not available in this setting | $203.08 | RVU16A |
| 2015-10-01 | Not available in this setting | $204.40 | RVU15D |
| 2015-07-01 | Not available in this setting | $204.40 | RVU15C |
| 2015-04-01 | Not available in this setting | $203.39 | RVU15B |
| 2015-01-01 | Not available in this setting | $203.39 | RVU15A |
| 2014-10-01 | Not available in this setting | $206.18 | RVU14D |
| 2014-07-01 | Not available in this setting | $206.18 | RVU14C |
| 2014-04-01 | Not available in this setting | $206.18 | RVU14B |
| 2014-01-01 | Not available in this setting | $206.18 | RVU14A |
| 2013-10-01 | Not available in this setting | Rate data unavailable | RVU13D |
| 2013-07-01 | Not available in this setting | Rate data unavailable | RVU13C |
| 2013-04-01 | Not available in this setting | Rate data unavailable | RVU13B |
| 2013-01-01 | Not available in this setting | Rate data unavailable | RVU13AR |
Where the Rhode Island rate applies
Rhode Island is a Medicare payment area, not a city. Our Census mapping connects it to 36 cities and communities in Rhode Island. Some span more than one payment area; confirm with the service ZIP.
- Ashaway
- Bradford
- Carolina
- Central Falls
- Charlestown
- Chepachet
- Clayville
- Cranston
45910 billing questions
How is rectal stricture dilation different from anal sphincter dilation?
Code 45910 is for a narrowing in the rectum. Code 45905 describes dilation directed at the anal sphincter, so the documented site determines the choice.
What documentation supports reporting 45910?
Document the rectal stricture, its location when known, the dilation performed, and anesthesia other than local. The note should distinguish the rectal narrowing from an anal sphincter problem.
Are related postoperative visits separately reported?
Related postoperative visits during the 10-day global period are included in the procedure's payment.
Can modifier 50 be used?
No. The anatomy or descriptor makes a bilateral adjustment and modifier 50 inappropriate for this service.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures in the same session are subject to the standard multiple procedure reduction. An assistant at surgery is not paid; co-surgeons and team surgery are 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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