No office rate
Both involve endoscopic stent placement, but 45347 is for flexible sigmoidoscopy; 45389 is for colonoscopy.
On this page
CMS RVU26D · Effective 2026-10-01
45389 in Austin
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$254.97
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Gastrointestinal endoscopy
About 45389: Colonoscopy with colonic stent placement
Reports colonoscopic deployment of a stent across a colonic narrowing, commonly to relieve obstruction or maintain luminal patency.
A therapeutic endoscopist advances a colonoscope to a narrowed segment and deploys a stent through the instrument to maintain or restore passage through the colon. A common setting is an obstructing colorectal tumor, where stenting may relieve symptoms or serve as a bridge to planned surgery. Gastroenterologists and colorectal surgeons typically perform the service in a hospital or ambulatory surgery center, with imaging support when needed to guide placement.
Select this service when the colonoscopic procedure includes stent deployment, not for diagnostic inspection alone or balloon dilation without a stent. The report should identify the site and cause of the narrowing, the stent placed, and how deployment was completed. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, endoscopy family pricing applies. Modifier 50 is inappropriate; assistant-at-surgery payment is restricted, and co-surgeons and team surgery are not permitted.
CMS billing rules for 45389
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Multiple procedures
- Endoscopy family pricing applies when related endoscopies are performed together.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU5.11 · 67%
- Practice expense (office) RVU1.89 · 25%
- Malpractice RVU0.58 · 8%
393
Medicare services in 2024 · #3753 by national volume
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.
45389 compared with similar codes
Office rates for Austin, from the same CMS release.
$699.83
45386 treats a colonic narrowing with balloon dilation. Choose 45389 when a stent is deployed through the colonoscope.
$391.72
45378 is diagnostic colonoscopy without the therapeutic stent placement reported by 45389.
No office rate
45393 reports colonoscopic decompression; 45389 reports placement of a stent across a narrowed colonic segment.
The same code, a different location
How does Austin compare?
45389 across payment areas
Same release and payment basis · bars start at $0
Austin · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Rest Of Texas
Texas · 45389
Office
Unavailable
Facility
$248.08
No comparable office rate is available.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 45389
Office
Unavailable
Facility
$265.22
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 45389
Office
Unavailable
Facility
$275.82
No comparable office rate is available.
Miami
Florida · 45389
Office
Unavailable
Facility
$285.39
No comparable office rate is available.
Chicago
Illinois · 45389
Office
Unavailable
Facility
$279.78
No comparable office rate is available.
Manhattan
New York · 45389
Office
Unavailable
Facility
$285.68
No comparable office rate is available.
Alaska*
Alaska · 45389
Office
Unavailable
Facility
$333.92
No comparable office rate is available.
Alabama
Alabama · 45389
Office
Unavailable
Facility
$236.88
No comparable office rate is available.
Arkansas
Arkansas · 45389
Office
Unavailable
Facility
$234.88
No comparable office rate is available.
Arizona
Arizona · 45389
Office
Unavailable
Facility
$248.43
No comparable office rate is available.
Bakersfield
California · 45389
Office
Unavailable
Facility
$254.91
No comparable office rate is available.
Chico
California · 45389
Office
Unavailable
Facility
$253.15
No comparable office rate is available.
El Centro
California · 45389
Office
Unavailable
Facility
$253.25
No comparable office rate is available.
Fresno
California · 45389
Office
Unavailable
Facility
$253.15
No comparable office rate is available.
Hanford-Corcoran
California · 45389
Office
Unavailable
Facility
$253.15
No comparable office rate is available.
Madera
California · 45389
Office
Unavailable
Facility
$253.15
No comparable office rate is available.
Merced
California · 45389
Office
Unavailable
Facility
$253.15
No comparable office rate is available.
Modesto
California · 45389
Office
Unavailable
Facility
$253.15
No comparable office rate is available.
Napa
California · 45389
Office
Unavailable
Facility
$274.47
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 45389
Office
Unavailable
Facility
$262.14
No comparable office rate is available.
Redding
California · 45389
Office
Unavailable
Facility
$253.15
No comparable office rate is available.
Rest Of California
California · 45389
Office
Unavailable
Facility
$253.15
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 45389
Office
Unavailable
Facility
$259.46
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 45389
Office
Unavailable
Facility
$260.62
No comparable office rate is available.
Salinas
California · 45389
Office
Unavailable
Facility
$259.52
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 45389
Office
Unavailable
Facility
$261.80
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 45389
Office
Unavailable
Facility
$284.80
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 45389
Office
Unavailable
Facility
$284.14
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 45389
Office
Unavailable
Facility
$290.87
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 45389
Office
Unavailable
Facility
$288.17
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 45389
Office
Unavailable
Facility
$255.87
No comparable office rate is available.
Santa Cruz-Watsonville
California · 45389
Office
Unavailable
Facility
$261.35
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 45389
Office
Unavailable
Facility
$259.45
No comparable office rate is available.
Santa Rosa-Petaluma
California · 45389
Office
Unavailable
Facility
$263.70
No comparable office rate is available.
Stockton
California · 45389
Office
Unavailable
Facility
$253.15
No comparable office rate is available.
Vallejo
California · 45389
Office
Unavailable
Facility
$273.53
No comparable office rate is available.
Visalia
California · 45389
Office
Unavailable
Facility
$253.15
No comparable office rate is available.
Yuba City
California · 45389
Office
Unavailable
Facility
$253.15
No comparable office rate is available.
Colorado
Colorado · 45389
Office
Unavailable
Facility
$255.02
No comparable office rate is available.
Connecticut
Connecticut · 45389
Office
Unavailable
Facility
$265.52
No comparable office rate is available.
Delaware
Delaware · 45389
Office
Unavailable
Facility
$251.32
No comparable office rate is available.
Fort Lauderdale
Florida · 45389
Office
Unavailable
Facility
$269.65
No comparable office rate is available.
Rest Of Florida
Florida · 45389
Office
Unavailable
Facility
$260.15
No comparable office rate is available.
Atlanta
Georgia · 45389
Office
Unavailable
Facility
$258.59
No comparable office rate is available.
Rest Of Georgia
Georgia · 45389
Office
Unavailable
Facility
$250.08
No comparable office rate is available.
Hawaii, Guam
Hawaii · 45389
Office
Unavailable
Facility
$253.67
No comparable office rate is available.
Iowa
Iowa · 45389
Office
Unavailable
Facility
$236.13
No comparable office rate is available.
Idaho
Idaho · 45389
Office
Unavailable
Facility
$237.92
No comparable office rate is available.
East St. Louis
Illinois · 45389
Office
Unavailable
Facility
$267.77
No comparable office rate is available.
Rest Of Illinois
Illinois · 45389
Office
Unavailable
Facility
$258.59
No comparable office rate is available.
Suburban Chicago
Illinois · 45389
Office
Unavailable
Facility
$271.03
No comparable office rate is available.
Indiana
Indiana · 45389
Office
Unavailable
Facility
$238.61
No comparable office rate is available.
Kansas
Kansas · 45389
Office
Unavailable
Facility
$237.51
No comparable office rate is available.
Kentucky
Kentucky · 45389
Office
Unavailable
Facility
$244.52
No comparable office rate is available.
New Orleans
Louisiana · 45389
Office
Unavailable
Facility
$252.09
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 45389
Office
Unavailable
Facility
$245.11
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 45389
Office
Unavailable
Facility
$270.29
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 45389
Office
Unavailable
Facility
$255.32
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 45389
Office
Unavailable
Facility
$265.11
No comparable office rate is available.
Rest Of Maryland
Maryland · 45389
Office
Unavailable
Facility
$254.05
No comparable office rate is available.
Rest Of Maine
Maine · 45389
Office
Unavailable
Facility
$240.81
No comparable office rate is available.
Southern Maine
Maine · 45389
Office
Unavailable
Facility
$245.46
No comparable office rate is available.
Detroit
Michigan · 45389
Office
Unavailable
Facility
$264.26
No comparable office rate is available.
Rest Of Michigan
Michigan · 45389
Office
Unavailable
Facility
$250.19
No comparable office rate is available.
Minnesota
Minnesota · 45389
Office
Unavailable
Facility
$241.37
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 45389
Office
Unavailable
Facility
$248.88
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 45389
Office
Unavailable
Facility
$250.19
No comparable office rate is available.
Rest Of Missouri
Missouri · 45389
Office
Unavailable
Facility
$243.96
No comparable office rate is available.
Mississippi
Mississippi · 45389
Office
Unavailable
Facility
$239.35
No comparable office rate is available.
Montana**
Montana · 45389
Office
Unavailable
Facility
$253.14
No comparable office rate is available.
North Carolina
North Carolina · 45389
Office
Unavailable
Facility
$241.96
No comparable office rate is available.
North Dakota**
North Dakota · 45389
Office
Unavailable
Facility
$241.67
No comparable office rate is available.
Nebraska
Nebraska · 45389
Office
Unavailable
Facility
$236.27
No comparable office rate is available.
New Hampshire
New Hampshire · 45389
Office
Unavailable
Facility
$253.35
No comparable office rate is available.
Northern Nj
New Jersey · 45389
Office
Unavailable
Facility
$275.35
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 45389
Office
Unavailable
Facility
$267.69
No comparable office rate is available.
New Mexico
New Mexico · 45389
Office
Unavailable
Facility
$251.83
No comparable office rate is available.
Nevada**
Nevada · 45389
Office
Unavailable
Facility
$250.01
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 45389
Office
Unavailable
Facility
$292.64
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 45389
Office
Unavailable
Facility
$270.92
No comparable office rate is available.
Queens
New York · 45389
Office
Unavailable
Facility
$284.15
No comparable office rate is available.
Rest Of New York
New York · 45389
Office
Unavailable
Facility
$244.27
No comparable office rate is available.
Ohio
Ohio · 45389
Office
Unavailable
Facility
$247.84
No comparable office rate is available.
Oklahoma
Oklahoma · 45389
Office
Unavailable
Facility
$242.10
No comparable office rate is available.
Portland
Oregon · 45389
Office
Unavailable
Facility
$257.96
No comparable office rate is available.
Rest Of Oregon
Oregon · 45389
Office
Unavailable
Facility
$247.17
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 45389
Office
Unavailable
Facility
$262.58
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 45389
Office
Unavailable
Facility
$246.94
No comparable office rate is available.
Puerto Rico
Puerto Rico · 45389
Office
Unavailable
Facility
$253.58
No comparable office rate is available.
Rhode Island
Rhode Island · 45389
Office
Unavailable
Facility
$256.41
No comparable office rate is available.
South Carolina
South Carolina · 45389
Office
Unavailable
Facility
$245.48
No comparable office rate is available.
South Dakota**
South Dakota · 45389
Office
Unavailable
Facility
$240.32
No comparable office rate is available.
Tennessee
Tennessee · 45389
Office
Unavailable
Facility
$238.46
No comparable office rate is available.
Utah
Utah · 45389
Office
Unavailable
Facility
$247.42
No comparable office rate is available.
Virginia
Virginia · 45389
Office
Unavailable
Facility
$246.41
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 45389
Office
Unavailable
Facility
$253.58
No comparable office rate is available.
Vermont
Vermont · 45389
Office
Unavailable
Facility
$242.98
No comparable office rate is available.
Rest Of Washington
Washington · 45389
Office
Unavailable
Facility
$254.11
No comparable office rate is available.
Seattle (King Cnty)
Washington · 45389
Office
Unavailable
Facility
$272.50
No comparable office rate is available.
Wisconsin
Wisconsin · 45389
Office
Unavailable
Facility
$237.12
No comparable office rate is available.
West Virginia
West Virginia · 45389
Office
Unavailable
Facility
$253.26
No comparable office rate is available.
Wyoming**
Wyoming · 45389
Office
Unavailable
Facility
$248.14
No comparable office rate is available.
See how rates vary across the country
45389 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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 all state and territory rates as a table
| State / territory | 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 |
Where does this rate apply?
Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
- 45389 in Austin
Multiple payment areas
- 45389 in Barton Creek
- 45389 in Bee Cave
- 45389 in Briarcliff
- 45389 in Cedar Park
Multiple payment areas
- 45389 in Creedmoor
Multiple payment areas
- 45389 in Elgin
Multiple payment areas
- 45389 in Garfield
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 45389 in Austin. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$280.47
$254.97 × 110% = $280.47
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 45389 in Austin.
PPRRVU2026_Oct_nonQPP.csv
5,523
- Code
- 45389
- Physician work
- 5.11
- Practice expense
- 1.89
- Malpractice
- 0.58
GPCI2026.csv
96
- Locality
- Austin
- Physician work
- 1.002
- Practice expense
- 1.058
- Malpractice
- 0.886
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.11 | × 1.002 | 5.1202 |
| Practice expense | 1.89 | × 1.058 | 1.9996 |
| Malpractice | 0.58 | × 0.886 | 0.5139 |
| Total RVUs | 7.6337 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Austin$254.97
Open 45389 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.11 | 1.002 |
| Practice expense | 1.89 | 1.058 |
| Malpractice | 0.58 | 0.886 |
(5.11 × 1.002 + 1.89 × 1.058 + 0.58 × 0.886) × $33.4009 = $254.97
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
45389 · 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
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $254.97 | RVU26D |
| 2026-07-01 | Not available in this setting | $254.97 | RVU26C |
| 2026-04-01 | Not available in this setting | $254.97 | RVU26B |
| 2026-01-01 | Not available in this setting | $254.97 | RVU26A |
| 2025-10-01 | Not available in this setting | $278.46 | RVU25D |
| 2025-07-01 | Not available in this setting | $278.46 | RVU25C |
| 2025-04-01 | Not available in this setting | $278.46 | RVU25B |
| 2025-01-01 | Not available in this setting | $278.46 | RVU25A |
45389 billing questions
When should 45389 be selected instead of 45347?
Use 45389 for stent placement performed through a colonoscopy. Code 45347 describes stent placement using flexible sigmoidoscopy, when the service is limited to that examination.
Is balloon dilation reported separately when a stent is placed?
45389 represents colonoscopic stent placement. Review the operative details and applicable coding edits before separately reporting another therapeutic endoscopy performed during the same session.
Can diagnostic colonoscopy be separately reported with 45389?
The inspection needed to reach and treat the narrowing is part of the therapeutic colonoscopy. When related endoscopies are performed together, CMS endoscopy family pricing applies.
What documentation supports 45389?
Document the location and cause of the narrowing, the reason for stenting, and the stent deployment details, including the device and final position.
How does the 0-day global period affect same-day care?
Same-day preoperative and postoperative care is included in the procedure's 0-day global period.
Can an assistant or co-surgeon be reported?
CMS does not pay an assistant at surgery for this service. 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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
5,52045385,,Colonoscopy w/lesion removal,A,,4.46,10.00,,1.72,,0.51,14.97,6.69,0,000,0.00,0.00,0.00,3,0,1,0,0,9,45378,33.4009,09,0,99,0.00,0.00,0.00
5,52145386,,Colonoscopy w/balloon dilat,A,,3.68,15.95,,1.49,,0.44,20.07,5.61,0,000,0.00,0.00,0.00,3,0,1,0,0,9,45378,33.4009,09,0,99,0.00,0.00,0.00
5,52245388,,Colonoscopy w/ablation,A,,4.76,74.26,,1.78,,0.60,79.62,7.14,0,000,0.00,0.00,0.00,3,0,1,0,0,9,45378,33.4009,09,0,99,0.00,0.00,0.00
5,52345389,,Colonoscopy w/stent plcmt,A,,5.11,1.89,NA,1.89,,0.58,7.58,7.58,0,000,0.00,0.00,0.00,3,0,1,0,0,9,45378,33.4009,09,0,99,0.00,0.00,0.00
5,52445390,,Colonoscopy w/resection,A,,5.89,2.15,NA,2.15,,0.65,8.69,8.69,0,000,0.00,0.00,0.00,3,0,1,0,0,9,45378,33.4009,09,0,99,0.00,0.00,0.00
5,52545391,,Colonoscopy w/endoscope us,A,,4.52,1.76,NA,1.76,,0.49,6.77,6.77,0,000,0.00,0.00,0.00,3,0,1,0,0,9,45378,33.4009,09,0,99,0.00,0.00,0.00
5,52645392,,Colonoscopy w/endoscopic fnb,A,,5.36,1.99,NA,1.99,,0.61,7.96,7.96,0,000,0.00,0.00,0.00,3,0,1,0,0,9,45378,33.4009,09,0,99,0.00,0.00,0.00
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780
9904412,TX,11,DALLAS,1.009,0.996,0.858