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CMS RVU26D · Effective 2026-10-01

45340 in Chico

Office / nonfacility

$549.67

Base rate per service

Facility setting

$73.04

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 45340: Flexible sigmoidoscopy with balloon dilation

Reports flexible sigmoidoscopy in which an endoscopist passes and inflates a balloon through the scope to widen a rectal or sigmoid stricture.

During flexible sigmoidoscopy, the endoscopist guides a dilation balloon through the scope to a narrowed area in the rectum or sigmoid colon, then inflates it under endoscopic visualization to enlarge the passage. Gastroenterologists and colorectal surgeons commonly perform this treatment for a stricture that limits passage through the distal bowel, including a narrowing at a surgical anastomosis. The procedure may take place in an endoscopy unit or hospital outpatient setting.

Report 45340 when the flexible sigmoidoscopy includes transendoscopic balloon dilation; diagnostic inspection alone is not the dilation service. The procedure note should identify the narrowed site and document balloon dilation. 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. Medicare does not pay an assistant at surgery for this code, and co-surgery and team surgery are not permitted.

CMS billing rules for 45340

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 RVU1.22 · 8%
  • Practice expense (office) RVU13.80 · 91%
  • Malpractice RVU0.17 · 1%

1K

Medicare services in 2024 · #2957 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.

45340 compared with similar codes

Office rates for Chico, from the same CMS release.

45386

Colonoscopy

Balloon dilation

$716.77

45386 describes transendoscopic balloon dilation during colonoscopy. Choose 45340 when the performed examination is flexible sigmoidoscopy.

45303

Proctosigmoidoscopy

Dilation of a narrowing

$1,115.93

45303 describes dilation with proctosigmoidoscopy. 45340 is for balloon dilation performed through a flexible sigmoidoscope.

45330

Flexible sigmoidoscopy

Diagnostic

$231.34

45330 is diagnostic flexible sigmoidoscopy; 45340 requires balloon dilation of a stricture during the examination.

The same code, a different location

How does Chico compare?

In Bakersfield, the office rate for 45340 is $550.16—$0.49 higher than the $549.67 rate in Chico. Both use the same code, release and participation basis.

45340 across payment areas

Same release and payment basis · bars start at $0

  1. Chico · This locality

    $549.67

  2. Bakersfield

    $550.16

    $0.49 higher than Chico

  3. El Centro

    $549.70

    $0.03 higher than Chico

  4. Fresno

    $549.67

    The same base rate than Chico

  5. Hanford-Corcoran

    $549.67

    The same base rate than Chico

  6. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $591.47

    $41.80 higher than Chico

  7. Madera

    $549.67

    The same base rate than Chico

Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 45340 ranges from $439.61 in Arkansas to $712.94 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

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

  • Merced

    California · 45340

    Office

    $549.67

    Facility

    $73.04

    The same base rate than Chico for the office setting.

  • Modesto

    California · 45340

    Office

    $549.67

    Facility

    $73.04

    The same base rate than Chico for the office setting.

  • Napa

    California · 45340

    Office

    $653.71

    Facility

    $80.54

    $104.04 higher than Chico for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 45340

    Office

    $590.25

    Facility

    $76.22

    $40.58 higher than Chico for the office setting.

  • Redding

    California · 45340

    Office

    $549.67

    Facility

    $73.04

    The same base rate than Chico for the office setting.

  • Rest Of California

    California · 45340

    Office

    $549.67

    Facility

    $73.04

    The same base rate than Chico for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 45340

    Office

    $551.51

    Facility

    $74.88

    $1.84 higher than Chico for the office setting.

  • Sacramento-Roseville-Folsom

    California · 45340

    Office

    $581.32

    Facility

    $75.56

    $31.65 higher than Chico for the office setting.

  • Salinas

    California · 45340

    Office

    $579.28

    Facility

    $75.25

    $29.61 higher than Chico for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 45340

    Office

    $596.32

    Facility

    $76.21

    $46.65 higher than Chico for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 45340

    Office

    $697.14

    Facility

    $83.96

    $147.47 higher than Chico for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 45340

    Office

    $696.95

    Facility

    $83.77

    $147.28 higher than Chico for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 45340

    Office

    $712.94

    Facility

    $85.84

    $163.27 higher than Chico for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 45340

    Office

    $712.15

    Facility

    $85.05

    $162.48 higher than Chico for the office setting.

  • San Luis Obispo-Paso Robles

    California · 45340

    Office

    $569.49

    Facility

    $74.16

    $19.82 higher than Chico for the office setting.

  • Santa Cruz-Watsonville

    California · 45340

    Office

    $604.68

    Facility

    $76.30

    $55.01 higher than Chico for the office setting.

  • Santa Maria-Santa Barbara

    California · 45340

    Office

    $582.38

    Facility

    $75.31

    $32.71 higher than Chico for the office setting.

  • Santa Rosa-Petaluma

    California · 45340

    Office

    $611.04

    Facility

    $77.01

    $61.37 higher than Chico for the office setting.

  • Stockton

    California · 45340

    Office

    $549.67

    Facility

    $73.04

    The same base rate than Chico for the office setting.

  • Vallejo

    California · 45340

    Office

    $653.43

    Facility

    $80.26

    $103.76 higher than Chico for the office setting.

  • Visalia

    California · 45340

    Office

    $549.67

    Facility

    $73.04

    The same base rate than Chico for the office setting.

  • Yuba City

    California · 45340

    Office

    $549.67

    Facility

    $73.04

    The same base rate than Chico for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 45340

    Office

    $592.25

    Facility

    $79.96

    $42.58 higher than Chico for the office setting.

  • Miami

    Florida · 45340

    Office

    $534.94

    Facility

    $82.23

    $14.73 lower than Chico for the office setting.

  • Chicago

    Illinois · 45340

    Office

    $517.30

    Facility

    $80.25

    $32.37 lower than Chico for the office setting.

  • Manhattan

    New York · 45340

    Office

    $587.97

    Facility

    $82.64

    $38.30 higher than Chico for the office setting.

  • Alaska*

    Alaska · 45340

    Office

    $555.15

    Facility

    $92.00

    $5.48 higher than Chico for the office setting.

  • Alabama

    Alabama · 45340

    Office

    $447.28

    Facility

    $66.76

    $102.39 lower than Chico for the office setting.

  • Arkansas

    Arkansas · 45340

    Office

    $439.61

    Facility

    $66.05

    $110.06 lower than Chico for the office setting.

  • Arizona

    Arizona · 45340

    Office

    $492.25

    Facility

    $70.85

    $57.42 lower than Chico for the office setting.

  • Colorado

    Colorado · 45340

    Office

    $536.10

    Facility

    $73.39

    $13.57 lower than Chico for the office setting.

  • Connecticut

    Connecticut · 45340

    Office

    $544.86

    Facility

    $76.49

    $4.81 lower than Chico for the office setting.

  • Delaware

    Delaware · 45340

    Office

    $501.46

    Facility

    $71.80

    $48.21 lower than Chico for the office setting.

  • Fort Lauderdale

    Florida · 45340

    Office

    $517.94

    Facility

    $77.41

    $31.73 lower than Chico for the office setting.

  • Rest Of Florida

    Florida · 45340

    Office

    $489.93

    Facility

    $74.19

    $59.74 lower than Chico for the office setting.

  • Atlanta

    Georgia · 45340

    Office

    $516.00

    Facility

    $74.16

    $33.67 lower than Chico for the office setting.

  • Rest Of Georgia

    Georgia · 45340

    Office

    $458.67

    Facility

    $70.76

    $91.00 lower than Chico for the office setting.

  • Hawaii, Guam

    Hawaii · 45340

    Office

    $568.12

    Facility

    $73.66

    $18.45 higher than Chico for the office setting.

  • Iowa

    Iowa · 45340

    Office

    $464.76

    Facility

    $66.84

    $84.91 lower than Chico for the office setting.

  • Idaho

    Idaho · 45340

    Office

    $467.49

    Facility

    $67.40

    $82.18 lower than Chico for the office setting.

  • East St. Louis

    Illinois · 45340

    Office

    $476.24

    Facility

    $76.15

    $73.43 lower than Chico for the office setting.

  • Rest Of Illinois

    Illinois · 45340

    Office

    $470.46

    Facility

    $73.41

    $79.21 lower than Chico for the office setting.

  • Suburban Chicago

    Illinois · 45340

    Office

    $524.47

    Facility

    $77.85

    $25.20 lower than Chico for the office setting.

  • Indiana

    Indiana · 45340

    Office

    $470.79

    Facility

    $67.66

    $78.88 lower than Chico for the office setting.

  • Kansas

    Kansas · 45340

    Office

    $460.29

    Facility

    $67.16

    $89.38 lower than Chico for the office setting.

  • Kentucky

    Kentucky · 45340

    Office

    $455.71

    Facility

    $69.11

    $93.96 lower than Chico for the office setting.

  • New Orleans

    Louisiana · 45340

    Office

    $480.94

    Facility

    $71.72

    $68.73 lower than Chico for the office setting.

  • Rest Of Louisiana

    Louisiana · 45340

    Office

    $454.11

    Facility

    $69.25

    $95.56 lower than Chico for the office setting.

  • Metropolitan Boston

    Massachusetts · 45340

    Office

    $597.83

    Facility

    $78.58

    $48.16 higher than Chico for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 45340

    Office

    $531.29

    Facility

    $73.36

    $18.38 lower than Chico for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 45340

    Office

    $543.01

    Facility

    $76.38

    $6.66 lower than Chico for the office setting.

  • Rest Of Maryland

    Maryland · 45340

    Office

    $512.83

    Facility

    $72.73

    $36.84 lower than Chico for the office setting.

  • Rest Of Maine

    Maine · 45340

    Office

    $468.34

    Facility

    $68.25

    $81.33 lower than Chico for the office setting.

  • Southern Maine

    Maine · 45340

    Office

    $501.12

    Facility

    $70.15

    $48.55 lower than Chico for the office setting.

  • Detroit

    Michigan · 45340

    Office

    $495.12

    Facility

    $75.46

    $54.55 lower than Chico for the office setting.

  • Rest Of Michigan

    Michigan · 45340

    Office

    $467.99

    Facility

    $70.95

    $81.68 lower than Chico for the office setting.

  • Minnesota

    Minnesota · 45340

    Office

    $516.73

    Facility

    $69.24

    $32.94 lower than Chico for the office setting.

  • Metropolitan Kansas City

    Missouri · 45340

    Office

    $479.11

    Facility

    $70.76

    $70.56 lower than Chico for the office setting.

  • Metropolitan St. Louis

    Missouri · 45340

    Office

    $485.25

    Facility

    $71.24

    $64.42 lower than Chico for the office setting.

  • Rest Of Missouri

    Missouri · 45340

    Office

    $443.60

    Facility

    $68.74

    $106.07 lower than Chico for the office setting.

  • Mississippi

    Mississippi · 45340

    Office

    $441.81

    Facility

    $67.38

    $107.86 lower than Chico for the office setting.

  • Montana**

    Montana · 45340

    Office

    $507.35

    Facility

    $72.47

    $42.32 lower than Chico for the office setting.

  • North Carolina

    North Carolina · 45340

    Office

    $474.43

    Facility

    $68.68

    $75.24 lower than Chico for the office setting.

  • North Dakota**

    North Dakota · 45340

    Office

    $503.99

    Facility

    $69.11

    $45.68 lower than Chico for the office setting.

  • Nebraska

    Nebraska · 45340

    Office

    $468.34

    Facility

    $66.94

    $81.33 lower than Chico for the office setting.

  • New Hampshire

    New Hampshire · 45340

    Office

    $525.55

    Facility

    $72.84

    $24.12 lower than Chico for the office setting.

  • Northern Nj

    New Jersey · 45340

    Office

    $584.06

    Facility

    $79.60

    $34.39 higher than Chico for the office setting.

  • Rest Of New Jersey

    New Jersey · 45340

    Office

    $551.95

    Facility

    $77.06

    $2.28 higher than Chico for the office setting.

  • New Mexico

    New Mexico · 45340

    Office

    $470.24

    Facility

    $71.46

    $79.43 lower than Chico for the office setting.

  • Nevada**

    Nevada · 45340

    Office

    $506.87

    Facility

    $71.56

    $42.80 lower than Chico for the office setting.

  • Nyc Suburbs/Long Island

    New York · 45340

    Office

    $601.95

    Facility

    $84.88

    $52.28 higher than Chico for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 45340

    Office

    $554.17

    Facility

    $77.98

    $4.50 higher than Chico for the office setting.

  • Queens

    New York · 45340

    Office

    $596.37

    Facility

    $82.34

    $46.70 higher than Chico for the office setting.

  • Rest Of New York

    New York · 45340

    Office

    $482.63

    Facility

    $69.49

    $67.04 lower than Chico for the office setting.

  • Ohio

    Ohio · 45340

    Office

    $467.30

    Facility

    $70.26

    $82.37 lower than Chico for the office setting.

  • Oklahoma

    Oklahoma · 45340

    Office

    $456.77

    Facility

    $68.43

    $92.90 lower than Chico for the office setting.

  • Portland

    Oregon · 45340

    Office

    $557.72

    Facility

    $74.57

    $8.05 higher than Chico for the office setting.

  • Rest Of Oregon

    Oregon · 45340

    Office

    $503.83

    Facility

    $70.69

    $45.84 lower than Chico for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 45340

    Office

    $528.09

    Facility

    $75.38

    $21.58 lower than Chico for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 45340

    Office

    $469.25

    Facility

    $70.03

    $80.42 lower than Chico for the office setting.

  • Puerto Rico

    Puerto Rico · 45340

    Office

    $512.34

    Facility

    $72.68

    $37.33 lower than Chico for the office setting.

  • Rhode Island

    Rhode Island · 45340

    Office

    $522.73

    Facility

    $73.50

    $26.94 lower than Chico for the office setting.

  • South Carolina

    South Carolina · 45340

    Office

    $471.48

    Facility

    $69.65

    $78.19 lower than Chico for the office setting.

  • South Dakota**

    South Dakota · 45340

    Office

    $503.59

    Facility

    $68.71

    $46.08 lower than Chico for the office setting.

  • Tennessee

    Tennessee · 45340

    Office

    $462.79

    Facility

    $67.48

    $86.88 lower than Chico for the office setting.

  • Austin

    Texas · 45340

    Office

    $533.53

    Facility

    $73.43

    $16.14 lower than Chico for the office setting.

  • Beaumont

    Texas · 45340

    Office

    $465.47

    Facility

    $69.73

    $84.20 lower than Chico for the office setting.

  • Brazoria

    Texas · 45340

    Office

    $502.29

    Facility

    $71.32

    $47.38 lower than Chico for the office setting.

  • Dallas

    Texas · 45340

    Office

    $505.08

    Facility

    $71.94

    $44.59 lower than Chico for the office setting.

  • Fort Worth

    Texas · 45340

    Office

    $500.54

    Facility

    $71.75

    $49.13 lower than Chico for the office setting.

  • Galveston

    Texas · 45340

    Office

    $503.48

    Facility

    $71.65

    $46.19 lower than Chico for the office setting.

  • Houston

    Texas · 45340

    Office

    $506.59

    Facility

    $74.76

    $43.08 lower than Chico for the office setting.

  • Rest Of Texas

    Texas · 45340

    Office

    $483.30

    Facility

    $70.60

    $66.37 lower than Chico for the office setting.

  • Utah

    Utah · 45340

    Office

    $479.12

    Facility

    $70.34

    $70.55 lower than Chico for the office setting.

  • Virginia

    Virginia · 45340

    Office

    $497.85

    Facility

    $70.37

    $51.82 lower than Chico for the office setting.

  • Virgin Islands

    United States Virgin Islands · 45340

    Office

    $512.34

    Facility

    $72.68

    $37.33 lower than Chico for the office setting.

  • Vermont

    Vermont · 45340

    Office

    $499.95

    Facility

    $69.41

    $49.72 lower than Chico for the office setting.

  • Rest Of Washington

    Washington · 45340

    Office

    $530.96

    Facility

    $73.03

    $18.71 lower than Chico for the office setting.

  • Seattle (King Cnty)

    Washington · 45340

    Office

    $612.99

    Facility

    $79.39

    $63.32 higher than Chico for the office setting.

  • Wisconsin

    Wisconsin · 45340

    Office

    $484.07

    Facility

    $67.46

    $65.60 lower than Chico for the office setting.

  • West Virginia

    West Virginia · 45340

    Office

    $449.42

    Facility

    $71.51

    $100.25 lower than Chico for the office setting.

  • Wyoming**

    Wyoming · 45340

    Office

    $505.88

    Facility

    $71.00

    $43.79 lower than Chico for the office setting.

See how rates vary across the country

45340 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$439.61

$631.31

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$555.151
AL$447.281
AR$439.611
AZ$492.251
CA$549.67–$712.9429
CO$536.101
CT$544.861
DC$592.251
DE$501.461
FL$489.93–$534.943
GA$458.67–$516.002
GU$568.121
HI$568.121
IA$464.761
ID$467.491
IL$470.46–$524.474
IN$470.791
KS$460.291
KY$455.711
LA$454.11–$480.942
MA$531.29–$597.832
MD$512.83–$592.253
ME$468.34–$501.122
MI$467.99–$495.122
MN$516.731
MO$443.60–$485.253
MS$441.811
MT$507.351
NC$474.431
ND$503.991
NE$468.341
NH$525.551
NJ$551.95–$584.062
NM$470.241
NV$506.871
NY$482.63–$601.955
OH$467.301
OK$456.771
OR$503.83–$557.722
PA$469.25–$528.092
PR$512.341
RI$522.731
SC$471.481
SD$503.591
TN$462.791
TX$465.47–$533.538
UT$479.121
VA$497.85–$592.252
VI$512.341
VT$499.951
WA$530.96–$612.992
WI$484.071
WV$449.421
WY$505.881

Explore 45340 on the national rate map →

Where does this rate apply?

Chico is a Medicare payment area. Our Census mapping connects it to 30 cities and communities in California, 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.

Browse all communities in California →

Why are the office and facility amounts different?

For 45340 in Chico, the physician’s office rate is $549.67 and the facility-setting rate is $73.04: a difference of $476.63.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 45340 in Chico. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$604.64

$549.67 × 110% = $604.64

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.

Compare your contract offer →

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 45340 in Chico.

PPRRVU2026_Oct_nonQPP.csv

5,506

Code
45340
Physician work
1.22
Practice expense
13.80
Malpractice
0.17

GPCI2026.csv

9

Locality
Chico
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 45340 in Chico
ComponentRVULocality factorAdjusted
Physician work1.22× 1.0171.2407
Practice expense13.80× 1.09615.1248
Malpractice0.17× 0.5360.0911
Total RVUs16.4567
Conversion factor× 33.4009

Office / nonfacility rate, Chico$549.67

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 45340 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.221.017
Practice expense13.81.096
Malpractice0.170.536

(1.22 × 1.017 + 13.8 × 1.096 + 0.17 × 0.536) × $33.4009 = $549.67

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.221.017
Practice expense0.781.096
Malpractice0.170.536

(1.22 × 1.017 + 0.78 × 1.096 + 0.17 × 0.536) × $33.4009 = $73.04

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

45340 · Office / nonfacility

$549.67

Effective 2026-10-01

The base rate is $89.65 higher than on 2025-10-01, moving from $460.02 to $549.67 (19.5%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

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

  1. January 1, 2026

    RVU26A

    $460.02changed to$549.67

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.25 changed to 1.22
    • Practice expense RVU 11.77 changed to 13.80
    • Malpractice RVU 0.16 changed to 0.17
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $460.02

    Held through RVU25B, RVU25C, RVU25D.

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 fromOffice / nonfacilityFacilityCMS release
2026-10-01$549.67$73.04RVU26D
2026-07-01$549.67$73.04RVU26C
2026-04-01$549.67$73.04RVU26B
2026-01-01$549.67$73.04RVU26A
2025-10-01$460.02$76.07RVU25D
2025-07-01$460.02$76.07RVU25C
2025-04-01$460.02$76.07RVU25B
2025-01-01$460.02$76.07RVU25A

45340 billing questions

When should 45340 be chosen over 45330?

Use 45340 when a balloon is passed through the flexible sigmoidoscope and inflated to widen a stricture. Use 45330 for diagnostic flexible sigmoidoscopy without that therapeutic dilation.

Can the diagnostic sigmoidoscopy be reported separately?

Inspection of the bowel as part of the dilation procedure is integral to reporting 45340. Do not separately report a diagnostic examination for that same scope passage.

What documentation supports 45340?

Document the stricture's location and the transendoscopic balloon dilation performed. The record should make clear that dilation, rather than inspection alone, was carried out.

Should modifier 50 be appended for a stricture on both sides?

No. CMS identifies bilateral adjustment as inappropriate for this code; report the sigmoidoscopy dilation without modifier 50.

Can an assistant surgeon or co-surgeon be reported?

Medicare does not pay an assistant at surgery for 45340. Co-surgeons and team surgery are not permitted for this code.

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.

RVUs for 45340PPRRVU2026_Oct_nonQPP.csv, line 5,506 (RVU26D)
Geographic factors for ChicoGPCI2026.csv, line 9 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet