Billing code 45307: Foreign body removalMedicare rate & RVUs
Reports removal of a foreign object from the rectum or distal sigmoid using a rigid proctosigmoidoscope, rather than a flexible sigmoidoscope.
Medicare pays $236.48 for 45307 nationally in the office and $95.86 in a hospital or facility. Local office rates run $205.66–$310.99.
Medicare rate · 45307
Foreign body removal
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- Work RVUs
- 1.56
- Total RVUs
- 7.08
- Global days
- 000
National rate · 2026
$236.48
Office setting, before claim adjustments.
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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 10 sections
What 45307 covers
A clinician advances a rigid proctosigmoidoscope through the anus to locate and retrieve a foreign object in the rectum or distal sigmoid. A gastroenterologist, colorectal surgeon, or other qualified physician may perform the procedure in an office, endoscopy suite, or operating room, depending on the object and clinical circumstances. Retrieval instruments may be passed through the scope. This code describes foreign-body extraction, not removal of a polyp or other lesion.
Report 45307 when the documented procedure uses a rigid proctosigmoidoscope to remove the object. The record should identify the object and its location, the scope used, the retrieval performed, and relevant findings. This minor procedure has a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, endoscopy family pricing applies. Assistant-at-surgery payment requires documentation of medical necessity; 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.
Where 45307 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$205.66 to $310.99
109 of 109 payment localities
45307 rates by state
Office rate range in each state. Select a state to see its payment localities.
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Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$205.66
$279.10
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $267.30 | 1 |
| AL | $209.10 | 1 |
| AR | $205.66 | 1 |
| AZ | $229.18 | 1 |
| CA | $247.21–$310.99 | 29 |
| CO | $244.93 | 1 |
| CT | $253.58 | 1 |
| DC | $271.20 | 1 |
| DE | $233.28 | 1 |
| FL | $236.04–$264.91 | 3 |
| GA | $220.77–$242.18 | 2 |
| GU | $253.91 | 1 |
| HI | $253.91 | 1 |
| IA | $213.54 | 1 |
| ID | $215.46 | 1 |
| IL | $229.56–$255.86 | 4 |
| IN | $216.83 | 1 |
| KS | $213.17 | 1 |
| KY | $216.38 | 1 |
| LA | $216.30–$228.34 | 2 |
| MA | $243.49–$270.12 | 2 |
| MD | $237.89–$271.20 | 3 |
| ME | $217.55–$229.77 | 2 |
| MI | $223.47–$240.14 | 2 |
| MN | $231.54 | 1 |
| MO | $212.61–$228.33 | 3 |
| MS | $209.14 | 1 |
| MT | $236.45 | 1 |
| NC | $220.00 | 1 |
| ND | $228.15 | 1 |
| NE | $214.64 | 1 |
| NH | $241.71 | 1 |
| NJ | $255.60–$267.97 | 2 |
| NM | $225.16 | 1 |
| NV | $234.31 | 1 |
| NY | $223.79–$284.03 | 5 |
| OH | $221.77 | 1 |
| OK | $215.12 | 1 |
| OR | $231.63–$252.63 | 2 |
| PA | $221.74–$247.11 | 2 |
| PR | $238.14 | 1 |
| RI | $241.57 | 1 |
| SC | $221.43 | 1 |
| SD | $227.16 | 1 |
| TN | $214.48 | 1 |
| TX | $220.15–$244.86 | 8 |
| UT | $224.83 | 1 |
| VA | $229.46–$271.20 | 2 |
| VI | $238.14 | 1 |
| VT | $227.84 | 1 |
| WA | $242.83–$275.18 | 2 |
| WI | $219.62 | 1 |
| WV | $220.21 | 1 |
| WY | $232.83 | 1 |
How the 45307 rate is calculated
Each of 45307’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 · 45307
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 1.56Practice expense 5.10Malpractice 0.42
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 45307
The CMS indicators that decide how 45307 is paid alongside other services.
CMS payment indicators · 45307
Foreign body removal
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 3 | Endoscopy family rules apply. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
45307 without 51 · national office
$236.48
Foreign body removal
45307-51 · Second procedure: 50%
$118.24
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%).
45307 compared with similar codes
Compare codes
45307 vs 45300 vs 45305 vs 45308 vs 45332: national Medicare rates
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How to choose
- 45300Proctosigmoidoscopy
- 45300 is a diagnostic rigid proctosigmoidoscopy. Choose 45307 when a foreign object is actually retrieved during the rigid examination.
- 45305Proctosigmoidoscopy
- 45305 describes biopsy during rigid proctosigmoidoscopy; 45307 describes removal of a foreign object, not tissue sampling.
- 45308Lesion removal
- 45308 is for removal of a tumor, polyp, or other lesion by specified techniques. Use 45307 for foreign-object retrieval.
- 45332Flexible sigmoidoscopy
- Both codes involve foreign-body removal, but 45332 is performed with a flexible sigmoidoscope; 45307 uses a rigid proctosigmoidoscope.
45307 billing questions
When should 45307 be chosen instead of 45332?
Use 45307 when the foreign body is removed with a rigid proctosigmoidoscope. Code 45332 describes foreign-body removal during flexible sigmoidoscopy.
Is 45307 appropriate for removing a polyp?
No. This code is for retrieval of a foreign object. Choose the code that describes the documented lesion-removal method when a polyp or other lesion is removed.
What should the procedure note support?
Document the foreign object, its location, use of a rigid proctosigmoidoscope, and the retrieval performed. Include relevant findings from the examination.
How are related endoscopies priced when performed together?
CMS endoscopy family pricing applies when related endoscopies are performed together.
Does the 0-day global include same-day care?
Yes. Same-day preoperative and postoperative care is included in the 0-day global period.
When can an assistant-at-surgery be paid?
Assistant-at-surgery payment is available only when the documentation supports medical necessity.
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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