$526.79
45384 is for removal with hot biopsy forceps or bipolar cautery; 45385 is for removal by snare.
On this page
CMS RVU26D · Effective 2026-10-01
45384 in El Centro
Office / nonfacility
$569.43
Base rate per service
Facility setting
$201.16
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
About 45384: Colonoscopy lesion removal with cautery
Reports colonoscopic removal of a polyp or other lesion using hot biopsy forceps or bipolar cautery during a flexible colonoscopy.
During flexible colonoscopy, the endoscopist removes a polyp or other lesion using hot biopsy forceps or bipolar cautery. Gastroenterologists and colorectal surgeons commonly perform this in an endoscopy center or hospital outpatient department; it may also be performed in an appropriately equipped office. For example, a polyp treated with cautery during the examination is reported by the removal method, not as a diagnostic-only examination.
Select this code when the documented removal technique is hot biopsy forceps or bipolar cautery; a snare removal is reported with a different code. The procedure note should identify the lesion and document the technique used. The diagnostic examination is part of the therapeutic colonoscopy, rather than a separate diagnostic service for that same examination. This minor procedure has a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, CMS endoscopy family pricing applies. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service, and co-surgeon and team-surgery billing are not permitted.
CMS billing rules for 45384
- 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 RVU3.97 · 25%
- Practice expense (office) RVU11.57 · 72%
- Malpractice RVU0.61 · 4%
46.4K
Medicare services in 2024 · #809 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.
45384 compared with similar codes
Office rates for El Centro, from the same CMS release.
$509.11
45380 reports colonoscopic biopsy sampling. Choose 45384 when the lesion is removed using hot biopsy forceps or bipolar cautery.
No office rate
45390 is used for endoscopic resection rather than the cautery removal technique represented by 45384.
$398.40
45378 describes a diagnostic colonoscopy without therapeutic lesion removal; when the examination includes removal under 45384, the diagnostic inspection is included.
The same code, a different location
How does El Centro compare?
In Bakersfield, the office rate for 45384 is $571.08—$1.65 higher than the $569.43 rate in El Centro. Both use the same code, release and participation basis.
45384 across payment areas
Same release and payment basis · bars start at $0
El Centro · This locality
$569.43
$571.08
$1.65 higher than El Centro
$569.32
$0.11 lower than El Centro
$569.32
$0.11 lower than El Centro
$569.32
$0.11 lower than El Centro
$39.31 higher than El Centro
$569.32
$0.11 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, 45384 ranges from $475.05 in Arkansas to $715.37 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 · 45384
Office
$569.32
Facility
$201.05
$0.11 lower than El Centro for the office setting.
Modesto
California · 45384
Office
$569.32
Facility
$201.05
$0.11 lower than El Centro for the office setting.
Napa
California · 45384
Office
$660.64
Facility
$217.78
$91.21 higher than El Centro for the office setting.
Oxnard-Thousand Oaks-Ventura
California · 45384
Office
$605.79
Facility
$208.62
$36.36 higher than El Centro for the office setting.
Redding
California · 45384
Office
$569.32
Facility
$201.05
$0.11 lower than El Centro for the office setting.
Rest Of California
California · 45384
Office
$569.32
Facility
$201.05
$0.11 lower than El Centro for the office setting.
Riverside-San Bernardino-Ontario
California · 45384
Office
$575.92
Facility
$207.65
$6.49 higher than El Centro for the office setting.
Sacramento-Roseville-Folsom
California · 45384
Office
$597.74
Facility
$206.95
$28.31 higher than El Centro for the office setting.
Salinas
California · 45384
Office
$595.53
Facility
$206.09
$26.10 higher than El Centro for the office setting.
San Diego-Chula Vista-Carlsbad
California · 45384
Office
$609.81
Facility
$207.94
$40.38 higher than El Centro for the office setting.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 45384
Office
$699.44
Facility
$225.66
$130.01 higher than El Centro for the office setting.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 45384
Office
$698.75
Facility
$224.97
$129.32 higher than El Centro for the office setting.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 45384
Office
$715.37
Facility
$230.84
$145.94 higher than El Centro for the office setting.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 45384
Office
$712.54
Facility
$228.00
$143.11 higher than El Centro for the office setting.
San Luis Obispo-Paso Robles
California · 45384
Office
$585.94
Facility
$203.22
$16.51 higher than El Centro for the office setting.
Santa Cruz-Watsonville
California · 45384
Office
$615.84
Facility
$207.59
$46.41 higher than El Centro for the office setting.
Santa Maria-Santa Barbara
California · 45384
Office
$597.83
Facility
$206.04
$28.40 higher than El Centro for the office setting.
Santa Rosa-Petaluma
California · 45384
Office
$622.06
Facility
$209.43
$52.63 higher than El Centro for the office setting.
Stockton
California · 45384
Office
$569.32
Facility
$201.05
$0.11 lower than El Centro for the office setting.
Vallejo
California · 45384
Office
$659.65
Facility
$216.78
$90.22 higher than El Centro for the office setting.
Visalia
California · 45384
Office
$569.32
Facility
$201.05
$0.11 lower than El Centro for the office setting.
Yuba City
California · 45384
Office
$569.32
Facility
$201.05
$0.11 lower than El Centro for the office setting.
Dc + Md/Va Suburbs
District of Columbia · 45384
Office
$617.68
Facility
$221.85
$48.25 higher than El Centro for the office setting.
Miami
Florida · 45384
Office
$586.42
Facility
$236.63
$16.99 higher than El Centro for the office setting.
Chicago
Illinois · 45384
Office
$568.67
Facility
$230.98
$0.76 lower than El Centro for the office setting.
Manhattan
New York · 45384
Office
$622.46
Facility
$232.01
$53.03 higher than El Centro for the office setting.
Alaska*
Alaska · 45384
Office
$621.70
Facility
$263.84
$52.27 higher than El Centro for the office setting.
Alabama
Alabama · 45384
Office
$482.28
Facility
$188.26
$87.15 lower than El Centro for the office setting.
Arkansas
Arkansas · 45384
Office
$475.05
Facility
$186.42
$94.38 lower than El Centro for the office setting.
Arizona
Arizona · 45384
Office
$524.51
Facility
$198.91
$44.92 lower than El Centro for the office setting.
Colorado
Colorado · 45384
Office
$561.29
Facility
$203.77
$8.14 lower than El Centro for the office setting.
Connecticut
Connecticut · 45384
Office
$576.11
Facility
$214.23
$6.68 higher than El Centro for the office setting.
Delaware
Delaware · 45384
Office
$533.39
Facility
$201.41
$36.04 lower than El Centro for the office setting.
Fort Lauderdale
Florida · 45384
Office
$560.91
Facility
$220.53
$8.52 lower than El Centro for the office setting.
Rest Of Florida
Florida · 45384
Office
$532.67
Facility
$211.44
$36.76 lower than El Centro for the office setting.
Atlanta
Georgia · 45384
Office
$550.10
Facility
$208.71
$19.33 lower than El Centro for the office setting.
Rest Of Georgia
Georgia · 45384
Office
$501.60
Facility
$201.88
$67.83 lower than El Centro for the office setting.
Hawaii, Guam
Hawaii · 45384
Office
$583.79
Facility
$201.74
$14.36 higher than El Centro for the office setting.
Iowa
Iowa · 45384
Office
$494.29
Facility
$186.84
$75.14 lower than El Centro for the office setting.
Idaho
Idaho · 45384
Office
$497.77
Facility
$188.64
$71.66 lower than El Centro for the office setting.
East St. Louis
Illinois · 45384
Office
$529.17
Facility
$220.04
$40.26 lower than El Centro for the office setting.
Rest Of Illinois
Illinois · 45384
Office
$517.27
Facility
$210.49
$52.16 lower than El Centro for the office setting.
Suburban Chicago
Illinois · 45384
Office
$566.52
Facility
$221.43
$2.91 lower than El Centro for the office setting.
Indiana
Indiana · 45384
Office
$500.74
Facility
$189.26
$68.69 lower than El Centro for the office setting.
Kansas
Kansas · 45384
Office
$492.22
Facility
$188.46
$77.21 lower than El Centro for the office setting.
Kentucky
Kentucky · 45384
Office
$494.80
Facility
$196.08
$74.63 lower than El Centro for the office setting.
New Orleans
Louisiana · 45384
Office
$519.40
Facility
$203.21
$50.03 lower than El Centro for the office setting.
Rest Of Louisiana
Louisiana · 45384
Office
$494.13
Facility
$196.76
$75.30 lower than El Centro for the office setting.
Metropolitan Boston
Massachusetts · 45384
Office
$617.59
Facility
$216.39
$48.16 higher than El Centro for the office setting.
Rest Of Massachusetts
Massachusetts · 45384
Office
$557.89
Facility
$204.07
$11.54 lower than El Centro for the office setting.
Baltimore/Surr. Cntys
Maryland · 45384
Office
$574.59
Facility
$214.04
$5.16 higher than El Centro for the office setting.
Rest Of Maryland
Maryland · 45384
Office
$543.72
Facility
$203.67
$25.71 lower than El Centro for the office setting.
Rest Of Maine
Maine · 45384
Office
$500.81
Facility
$191.68
$68.62 lower than El Centro for the office setting.
Southern Maine
Maine · 45384
Office
$528.43
Facility
$195.44
$41.00 lower than El Centro for the office setting.
Detroit
Michigan · 45384
Office
$539.88
Facility
$215.62
$29.55 lower than El Centro for the office setting.
Rest Of Michigan
Michigan · 45384
Office
$508.43
Facility
$201.65
$61.00 lower than El Centro for the office setting.
Minnesota
Minnesota · 45384
Office
$536.29
Facility
$190.53
$33.14 lower than El Centro for the office setting.
Metropolitan Kansas City
Missouri · 45384
Office
$515.38
Facility
$199.87
$54.05 lower than El Centro for the office setting.
Metropolitan St. Louis
Missouri · 45384
Office
$520.92
Facility
$201.03
$48.51 lower than El Centro for the office setting.
Rest Of Missouri
Missouri · 45384
Office
$485.56
Facility
$195.92
$83.87 lower than El Centro for the office setting.
Mississippi
Mississippi · 45384
Office
$480.39
Facility
$191.08
$89.04 lower than El Centro for the office setting.
Montana**
Montana · 45384
Office
$539.38
Facility
$203.37
$30.05 lower than El Centro for the office setting.
North Carolina
North Carolina · 45384
Office
$506.18
Facility
$192.68
$63.25 lower than El Centro for the office setting.
North Dakota**
North Dakota · 45384
Office
$527.32
Facility
$191.31
$42.11 lower than El Centro for the office setting.
Nebraska
Nebraska · 45384
Office
$497.00
Facility
$186.85
$72.43 lower than El Centro for the office setting.
New Hampshire
New Hampshire · 45384
Office
$552.72
Facility
$202.93
$16.71 lower than El Centro for the office setting.
Northern Nj
New Jersey · 45384
Office
$611.00
Facility
$221.22
$41.57 higher than El Centro for the office setting.
Rest Of New Jersey
New Jersey · 45384
Office
$582.26
Facility
$215.33
$12.83 higher than El Centro for the office setting.
New Mexico
New Mexico · 45384
Office
$511.44
Facility
$203.32
$57.99 lower than El Centro for the office setting.
Nevada**
Nevada · 45384
Office
$536.41
Facility
$200.06
$33.02 lower than El Centro for the office setting.
Nyc Suburbs/Long Island
New York · 45384
Office
$638.41
Facility
$238.89
$68.98 higher than El Centro for the office setting.
Poughkpsie/N Nyc Suburbs
New York · 45384
Office
$586.38
Facility
$218.45
$16.95 higher than El Centro for the office setting.
Queens
New York · 45384
Office
$627.25
Facility
$230.08
$57.82 higher than El Centro for the office setting.
Rest Of New York
New York · 45384
Office
$514.05
Facility
$194.84
$55.38 lower than El Centro for the office setting.
Ohio
Ohio · 45384
Office
$505.97
Facility
$199.19
$63.46 lower than El Centro for the office setting.
Oklahoma
Oklahoma · 45384
Office
$493.53
Facility
$193.47
$75.90 lower than El Centro for the office setting.
Portland
Oregon · 45384
Office
$579.23
Facility
$205.92
$9.80 higher than El Centro for the office setting.
Rest Of Oregon
Oregon · 45384
Office
$531.83
Facility
$197.16
$37.60 lower than El Centro for the office setting.
Metropolitan Philadelphia
Pennsylvania · 45384
Office
$561.59
Facility
$211.80
$7.84 lower than El Centro for the office setting.
Rest Of Pennsylvania
Pennsylvania · 45384
Office
$506.62
Facility
$198.16
$62.81 lower than El Centro for the office setting.
Puerto Rico
Puerto Rico · 45384
Office
$543.37
Facility
$203.66
$26.06 lower than El Centro for the office setting.
Rhode Island
Rhode Island · 45384
Office
$552.50
Facility
$205.39
$16.93 lower than El Centro for the office setting.
South Carolina
South Carolina · 45384
Office
$507.00
Facility
$196.52
$62.43 lower than El Centro for the office setting.
South Dakota**
South Dakota · 45384
Office
$525.90
Facility
$189.88
$43.53 lower than El Centro for the office setting.
Tennessee
Tennessee · 45384
Office
$494.82
Facility
$189.39
$74.61 lower than El Centro for the office setting.
Austin
Texas · 45384
Office
$559.78
Facility
$204.28
$9.65 lower than El Centro for the office setting.
Beaumont
Texas · 45384
Office
$503.20
Facility
$197.43
$66.23 lower than El Centro for the office setting.
Brazoria
Texas · 45384
Office
$532.52
Facility
$199.54
$36.91 lower than El Centro for the office setting.
Dallas
Texas · 45384
Office
$536.18
Facility
$201.51
$33.25 lower than El Centro for the office setting.
Fort Worth
Texas · 45384
Office
$532.58
Facility
$201.27
$36.85 lower than El Centro for the office setting.
Galveston
Texas · 45384
Office
$534.28
Facility
$200.61
$35.15 lower than El Centro for the office setting.
Houston
Texas · 45384
Office
$545.44
Facility
$211.78
$23.99 lower than El Centro for the office setting.
Rest Of Texas
Texas · 45384
Office
$517.74
Facility
$198.86
$51.69 lower than El Centro for the office setting.
Utah
Utah · 45384
Office
$514.16
Facility
$198.31
$55.27 lower than El Centro for the office setting.
Virginia
Virginia · 45384
Office
$526.86
Facility
$196.56
$42.57 lower than El Centro for the office setting.
Virgin Islands
United States Virgin Islands · 45384
Office
$543.37
Facility
$203.66
$26.06 lower than El Centro for the office setting.
Vermont
Vermont · 45384
Office
$525.50
Facility
$192.84
$43.93 lower than El Centro for the office setting.
Rest Of Washington
Washington · 45384
Office
$556.76
Facility
$202.94
$12.67 lower than El Centro for the office setting.
Seattle (King Cnty)
Washington · 45384
Office
$630.05
Facility
$217.76
$60.62 higher than El Centro for the office setting.
Wisconsin
Wisconsin · 45384
Office
$509.09
Facility
$187.19
$60.34 lower than El Centro for the office setting.
West Virginia
West Virginia · 45384
Office
$497.58
Facility
$205.59
$71.85 lower than El Centro for the office setting.
Wyoming**
Wyoming · 45384
Office
$534.13
Facility
$198.11
$35.30 lower than El Centro for the office setting.
See how rates vary across the country
45384 · 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.
$475.05
$642.35
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $621.70 | 1 |
| AL | $482.28 | 1 |
| AR | $475.05 | 1 |
| AZ | $524.51 | 1 |
| CA | $569.32–$715.37 | 29 |
| CO | $561.29 | 1 |
| CT | $576.11 | 1 |
| DC | $617.68 | 1 |
| DE | $533.39 | 1 |
| FL | $532.67–$586.42 | 3 |
| GA | $501.60–$550.10 | 2 |
| GU | $583.79 | 1 |
| HI | $583.79 | 1 |
| IA | $494.29 | 1 |
| ID | $497.77 | 1 |
| IL | $517.27–$568.67 | 4 |
| IN | $500.74 | 1 |
| KS | $492.22 | 1 |
| KY | $494.80 | 1 |
| LA | $494.13–$519.40 | 2 |
| MA | $557.89–$617.59 | 2 |
| MD | $543.72–$617.68 | 3 |
| ME | $500.81–$528.43 | 2 |
| MI | $508.43–$539.88 | 2 |
| MN | $536.29 | 1 |
| MO | $485.56–$520.92 | 3 |
| MS | $480.39 | 1 |
| MT | $539.38 | 1 |
| NC | $506.18 | 1 |
| ND | $527.32 | 1 |
| NE | $497.00 | 1 |
| NH | $552.72 | 1 |
| NJ | $582.26–$611.00 | 2 |
| NM | $511.44 | 1 |
| NV | $536.41 | 1 |
| NY | $514.05–$638.41 | 5 |
| OH | $505.97 | 1 |
| OK | $493.53 | 1 |
| OR | $531.83–$579.23 | 2 |
| PA | $506.62–$561.59 | 2 |
| PR | $543.37 | 1 |
| RI | $552.50 | 1 |
| SC | $507.00 | 1 |
| SD | $525.90 | 1 |
| TN | $494.82 | 1 |
| TX | $503.20–$559.78 | 8 |
| UT | $514.16 | 1 |
| VA | $526.86–$617.68 | 2 |
| VI | $543.37 | 1 |
| VT | $525.50 | 1 |
| WA | $556.76–$630.05 | 2 |
| WI | $509.09 | 1 |
| WV | $497.58 | 1 |
| WY | $534.13 | 1 |
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.
Why are the office and facility amounts different?
For 45384 in El Centro, the physician’s office rate is $569.43 and the facility-setting rate is $201.16: a difference of $368.27.
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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 45384 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$626.37
$569.43 × 110% = $626.37
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 45384 in El Centro.
PPRRVU2026_Oct_nonQPP.csv
5,519
- Code
- 45384
- Physician work
- 3.97
- Practice expense
- 11.57
- Malpractice
- 0.61
GPCI2026.csv
10
- Locality
- El Centro
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.541
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.97 | × 1.017 | 4.0375 |
| Practice expense | 11.57 | × 1.096 | 12.6807 |
| Malpractice | 0.61 | × 0.541 | 0.3300 |
| Total RVUs | 17.0482 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, El Centro$569.43
Open 45384 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.97 | 1.017 |
| Practice expense | 11.57 | 1.096 |
| Malpractice | 0.61 | 0.541 |
(3.97 × 1.017 + 11.57 × 1.096 + 0.61 × 0.541) × $33.4009 = $569.43
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.97 | 1.017 |
| Practice expense | 1.51 | 1.096 |
| Malpractice | 0.61 | 0.541 |
(3.97 × 1.017 + 1.51 × 1.096 + 0.61 × 0.541) × $33.4009 = $201.16
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
45384 · Office / nonfacility
$569.43
Effective 2026-10-01
The base rate is $79.97 higher than on 2025-10-01, moving from $489.46 to $569.43 (16.3%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$489.46changed to$569.43
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 4.07 changed to 3.97
- Practice expense RVU 9.74 changed to 11.57
- Malpractice RVU 0.63 changed to 0.61
- 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.
January 1, 2025
RVU25A
Earliest loaded release: $489.46
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
45384 billing questions
When should 45384 be chosen over 45385?
Use 45384 when the lesion is removed with hot biopsy forceps or bipolar cautery. Use 45385 when the documented removal method is a snare.
Can the diagnostic colonoscopy also be reported?
The diagnostic inspection is included when the colonoscopy proceeds to lesion removal during the same examination. Do not separately report 45378 for that same examination.
How does 45384 differ from a colonoscopy biopsy?
45384 represents lesion removal by cautery technique. Use 45380 when the service is tissue sampling by biopsy rather than removal using the 45384 technique.
What documentation supports reporting 45384?
The procedure note should identify the lesion and state that hot biopsy forceps or bipolar cautery was used to remove it. The documented technique distinguishes this code from snare removal.
Can an assistant surgeon or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this service. Co-surgeon and team-surgery billing 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.
5,51645380,,Colonoscopy and biopsy,A,,3.47,10.48,,1.43,,0.42,14.37,5.32,0,000,0.00,0.00,0.00,3,0,1,0,0,9,45378,33.4009,09,0,99,0.00,0.00,0.00
5,51745381,,Colonoscopy submucous njx,A,,3.47,10.79,,1.43,,0.42,14.68,5.32,0,000,0.00,0.00,0.00,3,0,1,0,0,9,45378,33.4009,09,0,99,0.00,0.00,0.00
5,51845382,,Colonoscopy w/control bleed,A,,4.54,16.82,,1.75,,0.50,21.86,6.79,0,000,0.00,0.00,0.00,3,0,1,0,0,9,45378,33.4009,09,0,99,0.00,0.00,0.00
5,51945384,,Colonoscopy w/lesion removal,A,,3.97,11.57,,1.51,,0.61,16.15,6.09,0,000,0.00,0.00,0.00,3,0,1,0,0,9,45378,33.4009,09,0,99,0.00,0.00,0.00
5,52045385,,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
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541
1101112,CA,56,FRESNO,1.017,1.096,0.536
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664