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CMS RVU26D · Effective 2026-10-01

45334 in El Centro

Office / nonfacility

$587.11

Base rate per service

Facility setting

$106.82

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.

Gastroenterology endoscopy

About 45334: Flexible sigmoidoscopy with bleeding control

Reports flexible endoscopic examination of the rectum and distal colon when the endoscopist actively treats a bleeding site during the procedure.

A gastroenterologist or colorectal surgeon uses a flexible endoscope to examine the rectum and distal colon and treat a bleeding site, such as a bleeding lesion or a bleeding point seen during evaluation of hematochezia. Hemostasis may be achieved with an endoscopic technique such as injection, thermal treatment, or a clip. The code reflects treatment of bleeding, not visualization alone.

Report it when the procedure note supports endoscopic treatment intended to control bleeding, including the site and method used. A diagnostic examination performed as part of the same treatment session is not a separate service merely because the endoscopist first inspected the area. 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. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.

CMS billing rules for 45334

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 RVU1.95 · 12%
  • Practice expense (office) RVU14.12 · 87%
  • Malpractice RVU0.22 · 1%

3.5K

Medicare services in 2024 · #2086 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.

45334 compared with similar codes

Office rates for El Centro, from the same CMS release.

45330

Flexible sigmoidoscopy

Diagnostic

$231.36

45330 is for diagnostic flexible sigmoidoscopy without treatment. Use 45334 when the endoscopist treats a bleeding site during the procedure.

45331

Sigmoidoscopy

With biopsy

$348.47

45331 includes biopsy during flexible sigmoidoscopy. This code is for endoscopic treatment to control bleeding.

45333

Flexible sigmoidoscopy

Hot biopsy forceps removal

$395.35

45333 is for snare removal of a polyp. This code is appropriate when the documented intervention is control of bleeding.

45317

Bleeding control

Rigid proctosigmoidoscopy

$252.76

Both codes address endoscopic bleeding control, but 45317 is for rigid proctosigmoidoscopy; 45334 is for flexible sigmoidoscopy.

The same code, a different location

How does El Centro compare?

In Bakersfield, the office rate for 45334 is $587.74—$0.63 higher than the $587.11 rate in El Centro. Both use the same code, release and participation basis.

45334 across payment areas

Same release and payment basis · bars start at $0

  1. El Centro · This locality

    $587.11

  2. Bakersfield

    $587.74

    $0.63 higher than El Centro

  3. Chico

    $587.07

    $0.04 lower than El Centro

  4. Fresno

    $587.07

    $0.04 lower than El Centro

  5. Hanford-Corcoran

    $587.07

    $0.04 lower than El Centro

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

    $630.61

    $43.50 higher than El Centro

  7. Madera

    $587.07

    $0.04 lower than El Centro

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, 45334 ranges from $474.04 in Arkansas to $756.31 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 · 45334

    Office

    $587.07

    Facility

    $106.79

    $0.04 lower than El Centro for the office setting.

  • Modesto

    California · 45334

    Office

    $587.07

    Facility

    $106.79

    $0.04 lower than El Centro for the office setting.

  • Napa

    California · 45334

    Office

    $694.56

    Facility

    $116.99

    $107.45 higher than El Centro for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 45334

    Office

    $628.99

    Facility

    $111.01

    $41.88 higher than El Centro for the office setting.

  • Redding

    California · 45334

    Office

    $587.07

    Facility

    $106.79

    $0.04 lower than El Centro for the office setting.

  • Rest Of California

    California · 45334

    Office

    $587.07

    Facility

    $106.79

    $0.04 lower than El Centro for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 45334

    Office

    $589.47

    Facility

    $109.18

    $2.36 higher than El Centro for the office setting.

  • Sacramento-Roseville-Folsom

    California · 45334

    Office

    $619.91

    Facility

    $110.26

    $32.80 higher than El Centro for the office setting.

  • Salinas

    California · 45334

    Office

    $617.70

    Facility

    $109.80

    $30.59 higher than El Centro for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 45334

    Office

    $635.13

    Facility

    $111.02

    $48.02 higher than El Centro for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 45334

    Office

    $739.68

    Facility

    $121.79

    $152.57 higher than El Centro for the office setting.

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

    California · 45334

    Office

    $739.43

    Facility

    $121.54

    $152.32 higher than El Centro for the office setting.

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

    California · 45334

    Office

    $756.31

    Facility

    $124.40

    $169.20 higher than El Centro for the office setting.

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

    California · 45334

    Office

    $755.29

    Facility

    $123.38

    $168.18 higher than El Centro for the office setting.

  • San Luis Obispo-Paso Robles

    California · 45334

    Office

    $607.35

    Facility

    $108.22

    $20.24 higher than El Centro for the office setting.

  • Santa Cruz-Watsonville

    California · 45334

    Office

    $643.46

    Facility

    $111.02

    $56.35 higher than El Centro for the office setting.

  • Santa Maria-Santa Barbara

    California · 45334

    Office

    $620.80

    Facility

    $109.84

    $33.69 higher than El Centro for the office setting.

  • Santa Rosa-Petaluma

    California · 45334

    Office

    $650.17

    Facility

    $112.04

    $63.06 higher than El Centro for the office setting.

  • Stockton

    California · 45334

    Office

    $587.07

    Facility

    $106.79

    $0.04 lower than El Centro for the office setting.

  • Vallejo

    California · 45334

    Office

    $694.20

    Facility

    $116.63

    $107.09 higher than El Centro for the office setting.

  • Visalia

    California · 45334

    Office

    $587.07

    Facility

    $106.79

    $0.04 lower than El Centro for the office setting.

  • Yuba City

    California · 45334

    Office

    $587.07

    Facility

    $106.79

    $0.04 lower than El Centro for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 45334

    Office

    $632.40

    Facility

    $116.17

    $45.29 higher than El Centro for the office setting.

  • Miami

    Florida · 45334

    Office

    $574.67

    Facility

    $118.49

    $12.44 lower than El Centro for the office setting.

  • Chicago

    Illinois · 45334

    Office

    $556.43

    Facility

    $116.02

    $30.68 lower than El Centro for the office setting.

  • Manhattan

    New York · 45334

    Office

    $628.98

    Facility

    $119.77

    $41.87 higher than El Centro for the office setting.

  • Alaska*

    Alaska · 45334

    Office

    $604.02

    Facility

    $137.32

    $16.91 higher than El Centro for the office setting.

  • Alabama

    Alabama · 45334

    Office

    $481.96

    Facility

    $98.52

    $105.15 lower than El Centro for the office setting.

  • Arkansas

    Arkansas · 45334

    Office

    $474.04

    Facility

    $97.61

    $113.07 lower than El Centro for the office setting.

  • Arizona

    Arizona · 45334

    Office

    $528.42

    Facility

    $103.79

    $58.69 lower than El Centro for the office setting.

  • Colorado

    Colorado · 45334

    Office

    $573.46

    Facility

    $107.19

    $13.65 lower than El Centro for the office setting.

  • Connecticut

    Connecticut · 45334

    Office

    $583.26

    Facility

    $111.30

    $3.85 lower than El Centro for the office setting.

  • Delaware

    Delaware · 45334

    Office

    $538.02

    Facility

    $105.06

    $49.09 lower than El Centro for the office setting.

  • Fort Lauderdale

    Florida · 45334

    Office

    $556.17

    Facility

    $112.25

    $30.94 lower than El Centro for the office setting.

  • Rest Of Florida

    Florida · 45334

    Office

    $527.05

    Facility

    $108.11

    $60.06 lower than El Centro for the office setting.

  • Atlanta

    Georgia · 45334

    Office

    $553.32

    Facility

    $108.09

    $33.79 lower than El Centro for the office setting.

  • Rest Of Georgia

    Georgia · 45334

    Office

    $494.58

    Facility

    $103.68

    $92.53 lower than El Centro for the office setting.

  • Hawaii, Guam

    Hawaii · 45334

    Office

    $605.62

    Facility

    $107.36

    $18.51 higher than El Centro for the office setting.

  • Iowa

    Iowa · 45334

    Office

    $499.58

    Facility

    $98.61

    $87.53 lower than El Centro for the office setting.

  • Idaho

    Idaho · 45334

    Office

    $502.50

    Facility

    $99.34

    $84.61 lower than El Centro for the office setting.

  • East St. Louis

    Illinois · 45334

    Office

    $513.82

    Facility

    $110.66

    $73.29 lower than El Centro for the office setting.

  • Rest Of Illinois

    Illinois · 45334

    Office

    $507.21

    Facility

    $107.11

    $79.90 lower than El Centro for the office setting.

  • Suburban Chicago

    Illinois · 45334

    Office

    $562.96

    Facility

    $112.91

    $24.15 lower than El Centro for the office setting.

  • Indiana

    Indiana · 45334

    Office

    $505.90

    Facility

    $99.67

    $81.21 lower than El Centro for the office setting.

  • Kansas

    Kansas · 45334

    Office

    $495.18

    Facility

    $99.03

    $91.93 lower than El Centro for the office setting.

  • Kentucky

    Kentucky · 45334

    Office

    $491.13

    Facility

    $101.55

    $95.98 lower than El Centro for the office setting.

  • New Orleans

    Louisiana · 45334

    Office

    $517.27

    Facility

    $104.91

    $69.84 lower than El Centro for the office setting.

  • Rest Of Louisiana

    Louisiana · 45334

    Office

    $489.56

    Facility

    $101.73

    $97.55 lower than El Centro for the office setting.

  • Metropolitan Boston

    Massachusetts · 45334

    Office

    $637.46

    Facility

    $114.22

    $50.35 higher than El Centro for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 45334

    Office

    $568.65

    Facility

    $107.20

    $18.46 lower than El Centro for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 45334

    Office

    $581.31

    Facility

    $111.10

    $5.80 lower than El Centro for the office setting.

  • Rest Of Maryland

    Maryland · 45334

    Office

    $549.81

    Facility

    $106.33

    $37.30 lower than El Centro for the office setting.

  • Rest Of Maine

    Maine · 45334

    Office

    $503.59

    Facility

    $100.43

    $83.52 lower than El Centro for the office setting.

  • Southern Maine

    Maine · 45334

    Office

    $537.14

    Facility

    $102.87

    $49.97 lower than El Centro for the office setting.

  • Detroit

    Michigan · 45334

    Office

    $532.63

    Facility

    $109.75

    $54.48 lower than El Centro for the office setting.

  • Rest Of Michigan

    Michigan · 45334

    Office

    $504.02

    Facility

    $103.92

    $83.09 lower than El Centro for the office setting.

  • Minnesota

    Minnesota · 45334

    Office

    $552.60

    Facility

    $101.68

    $34.51 lower than El Centro for the office setting.

  • Metropolitan Kansas City

    Missouri · 45334

    Office

    $515.16

    Facility

    $103.67

    $71.95 lower than El Centro for the office setting.

  • Metropolitan St. Louis

    Missouri · 45334

    Office

    $521.48

    Facility

    $104.29

    $65.63 lower than El Centro for the office setting.

  • Rest Of Missouri

    Missouri · 45334

    Office

    $478.83

    Facility

    $101.08

    $108.28 lower than El Centro for the office setting.

  • Mississippi

    Mississippi · 45334

    Office

    $476.63

    Facility

    $99.32

    $110.48 lower than El Centro for the office setting.

  • Montana**

    Montana · 45334

    Office

    $544.09

    Facility

    $105.87

    $43.02 lower than El Centro for the office setting.

  • North Carolina

    North Carolina · 45334

    Office

    $509.85

    Facility

    $100.99

    $77.26 lower than El Centro for the office setting.

  • North Dakota**

    North Dakota · 45334

    Office

    $539.74

    Facility

    $101.52

    $47.37 lower than El Centro for the office setting.

  • Nebraska

    Nebraska · 45334

    Office

    $503.22

    Facility

    $98.74

    $83.89 lower than El Centro for the office setting.

  • New Hampshire

    New Hampshire · 45334

    Office

    $562.52

    Facility

    $106.33

    $24.59 lower than El Centro for the office setting.

  • Northern Nj

    New Jersey · 45334

    Office

    $624.16

    Facility

    $115.83

    $37.05 higher than El Centro for the office setting.

  • Rest Of New Jersey

    New Jersey · 45334

    Office

    $590.81

    Facility

    $112.27

    $3.70 higher than El Centro for the office setting.

  • New Mexico

    New Mexico · 45334

    Office

    $506.43

    Facility

    $104.59

    $80.68 lower than El Centro for the office setting.

  • Nevada**

    Nevada · 45334

    Office

    $543.35

    Facility

    $104.69

    $43.76 lower than El Centro for the office setting.

  • Nyc Suburbs/Long Island

    New York · 45334

    Office

    $643.70

    Facility

    $122.66

    $56.59 higher than El Centro for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 45334

    Office

    $593.38

    Facility

    $113.53

    $6.27 higher than El Centro for the office setting.

  • Queens

    New York · 45334

    Office

    $637.35

    Facility

    $119.38

    $50.24 higher than El Centro for the office setting.

  • Rest Of New York

    New York · 45334

    Office

    $518.34

    Facility

    $102.03

    $68.77 lower than El Centro for the office setting.

  • Ohio

    Ohio · 45334

    Office

    $503.13

    Facility

    $103.03

    $83.98 lower than El Centro for the office setting.

  • Oklahoma

    Oklahoma · 45334

    Office

    $492.00

    Facility

    $100.67

    $95.11 lower than El Centro for the office setting.

  • Portland

    Oregon · 45334

    Office

    $595.61

    Facility

    $108.75

    $8.50 higher than El Centro for the office setting.

  • Rest Of Oregon

    Oregon · 45334

    Office

    $540.03

    Facility

    $103.56

    $47.08 lower than El Centro for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 45334

    Office

    $566.03

    Facility

    $109.84

    $21.08 lower than El Centro for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 45334

    Office

    $505.02

    Facility

    $102.74

    $82.09 lower than El Centro for the office setting.

  • Puerto Rico

    Puerto Rico · 45334

    Office

    $549.18

    Facility

    $106.14

    $37.93 lower than El Centro for the office setting.

  • Rhode Island

    Rhode Island · 45334

    Office

    $560.11

    Facility

    $107.43

    $27.00 lower than El Centro for the office setting.

  • South Carolina

    South Carolina · 45334

    Office

    $507.16

    Facility

    $102.24

    $79.95 lower than El Centro for the office setting.

  • South Dakota**

    South Dakota · 45334

    Office

    $539.22

    Facility

    $101.00

    $47.89 lower than El Centro for the office setting.

  • Tennessee

    Tennessee · 45334

    Office

    $497.78

    Facility

    $99.44

    $89.33 lower than El Centro for the office setting.

  • Austin

    Texas · 45334

    Office

    $570.75

    Facility

    $107.11

    $16.36 lower than El Centro for the office setting.

  • Beaumont

    Texas · 45334

    Office

    $501.13

    Facility

    $102.35

    $85.98 lower than El Centro for the office setting.

  • Brazoria

    Texas · 45334

    Office

    $538.76

    Facility

    $104.48

    $48.35 lower than El Centro for the office setting.

  • Dallas

    Texas · 45334

    Office

    $541.76

    Facility

    $105.29

    $45.35 lower than El Centro for the office setting.

  • Fort Worth

    Texas · 45334

    Office

    $537.14

    Facility

    $105.05

    $49.97 lower than El Centro for the office setting.

  • Galveston

    Texas · 45334

    Office

    $540.06

    Facility

    $104.90

    $47.05 lower than El Centro for the office setting.

  • Houston

    Texas · 45334

    Office

    $544.08

    Facility

    $108.93

    $43.03 lower than El Centro for the office setting.

  • Rest Of Texas

    Texas · 45334

    Office

    $519.34

    Facility

    $103.46

    $67.77 lower than El Centro for the office setting.

  • Utah

    Utah · 45334

    Office

    $515.05

    Facility

    $103.13

    $72.06 lower than El Centro for the office setting.

  • Virginia

    Virginia · 45334

    Office

    $533.92

    Facility

    $103.15

    $53.19 lower than El Centro for the office setting.

  • Virgin Islands

    United States Virgin Islands · 45334

    Office

    $549.18

    Facility

    $106.14

    $37.93 lower than El Centro for the office setting.

  • Vermont

    Vermont · 45334

    Office

    $535.75

    Facility

    $101.92

    $51.36 lower than El Centro for the office setting.

  • Rest Of Washington

    Washington · 45334

    Office

    $568.19

    Facility

    $106.74

    $18.92 lower than El Centro for the office setting.

  • Seattle (King Cnty)

    Washington · 45334

    Office

    $653.07

    Facility

    $115.37

    $65.96 higher than El Centro for the office setting.

  • Wisconsin

    Wisconsin · 45334

    Office

    $519.21

    Facility

    $99.39

    $67.90 lower than El Centro for the office setting.

  • West Virginia

    West Virginia · 45334

    Office

    $485.49

    Facility

    $104.67

    $101.62 lower than El Centro for the office setting.

  • Wyoming**

    Wyoming · 45334

    Office

    $542.19

    Facility

    $103.97

    $44.92 lower than El Centro for the office setting.

See how rates vary across the country

45334 · 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.

$474.04

$671.69

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$604.021
AL$481.961
AR$474.041
AZ$528.421
CA$587.07–$756.3129
CO$573.461
CT$583.261
DC$632.401
DE$538.021
FL$527.05–$574.673
GA$494.58–$553.322
GU$605.621
HI$605.621
IA$499.581
ID$502.501
IL$507.21–$562.964
IN$505.901
KS$495.181
KY$491.131
LA$489.56–$517.272
MA$568.65–$637.462
MD$549.81–$632.403
ME$503.59–$537.142
MI$504.02–$532.632
MN$552.601
MO$478.83–$521.483
MS$476.631
MT$544.091
NC$509.851
ND$539.741
NE$503.221
NH$562.521
NJ$590.81–$624.162
NM$506.431
NV$543.351
NY$518.34–$643.705
OH$503.131
OK$492.001
OR$540.03–$595.612
PA$505.02–$566.032
PR$549.181
RI$560.111
SC$507.161
SD$539.221
TN$497.781
TX$501.13–$570.758
UT$515.051
VA$533.92–$632.402
VI$549.181
VT$535.751
WA$568.19–$653.072
WI$519.211
WV$485.491
WY$542.191

Explore 45334 on the national rate map →

Where does this rate apply?

El Centro is a Medicare payment area. Our Census mapping connects it to 18 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 45334 in El Centro, the physician’s office rate is $587.11 and the facility-setting rate is $106.82: a difference of $480.29.

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 45334 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$645.82

$587.11 × 110% = $645.82

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 45334 in El Centro.

PPRRVU2026_Oct_nonQPP.csv

5,502

Code
45334
Physician work
1.95
Practice expense
14.12
Malpractice
0.22

GPCI2026.csv

10

Locality
El Centro
Physician work
1.017
Practice expense
1.096
Malpractice
0.541
Office / nonfacility calculation for 45334 in El Centro
ComponentRVULocality factorAdjusted
Physician work1.95× 1.0171.9831
Practice expense14.12× 1.09615.4755
Malpractice0.22× 0.5410.1190
Total RVUs17.5777
Conversion factor× 33.4009

Office / nonfacility rate, El Centro$587.11

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

Open 45334 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.951.017
Practice expense14.121.096
Malpractice0.220.541

(1.95 × 1.017 + 14.12 × 1.096 + 0.22 × 0.541) × $33.4009 = $587.11

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.951.017
Practice expense11.096
Malpractice0.220.541

(1.95 × 1.017 + 1 × 1.096 + 0.22 × 0.541) × $33.4009 = $106.82

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

45334 · Office / nonfacility

$587.11

Effective 2026-10-01

The base rate is $93.18 higher than on 2025-10-01, moving from $493.93 to $587.11 (18.9%).

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

    $493.93changed to$587.11

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.00 changed to 1.95
    • Practice expense RVU 11.99 changed to 14.12
    • Malpractice RVU 0.24 changed to 0.22
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.570 changed to 0.541

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $493.93

    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$587.11$106.82RVU26D
2026-07-01$587.11$106.82RVU26C
2026-04-01$587.11$106.82RVU26B
2026-01-01$587.11$106.82RVU26A
2025-10-01$493.93$114.22RVU25D
2025-07-01$493.93$114.22RVU25C
2025-04-01$493.93$114.22RVU25B
2025-01-01$493.93$114.22RVU25A

45334 billing questions

Can the diagnostic examination be billed separately when bleeding is treated?

The inspection that leads to treatment during the same session is part of the therapeutic service. Document the bleeding site and the treatment performed.

How does this differ from flexible sigmoidoscopy with biopsy?

Code 45331 describes a procedure that includes tissue sampling. This code describes endoscopic treatment directed at controlling bleeding.

How does this differ from the polypectomy code?

Code 45333 is for removal of a polyp by snare technique. Choose this code when the service performed is control of bleeding, rather than polyp removal.

Can an assistant or co-surgeon be reported?

Medicare does not pay an assistant at surgery for this procedure. CMS does not permit co-surgeons or team surgery for it.

What documentation supports reporting this service?

The report should identify the bleeding site and describe the endoscopic technique used to control it. A note documenting only examination or a finding of blood does not establish that bleeding was treated.

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 45334PPRRVU2026_Oct_nonQPP.csv, line 5,502 (RVU26D)
Geographic factors for El CentroGPCI2026.csv, line 10 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet