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CMS RVU26D · Effective 2026-10-01

45332 in Merced

Office / nonfacility

$334.36

Base rate per service

Facility setting

$96.41

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 45332: Flexible sigmoidoscopy with foreign body removal

Flexible sigmoidoscopy with endoscopic extraction of a foreign object from the rectum or sigmoid colon, reported when removal is performed during the examination.

An endoscopist passes a flexible instrument through the anus to inspect the rectum and sigmoid colon and uses an endoscopic device to retrieve a foreign object encountered there. Gastroenterologists and colorectal surgeons commonly perform the procedure in an endoscopy unit or hospital outpatient setting; urgent removal may occur in a facility when an object is retained or causing symptoms. The report should identify the object and its location, document the scope extent and retrieval method, and describe the outcome or why removal could not be completed.

Report this service for endoscopic foreign-body extraction, not for inspection alone, biopsy, or polyp removal. Documentation should distinguish extraction from treatment of a lesion and identify any other endoscopic service performed. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, CMS applies endoscopy-family pricing. Modifier 50 is inappropriate for this descriptor and anatomy. Medicare does not pay an assistant-at-surgery claim for this service under statutory restriction; co-surgeons and team surgery are not permitted.

CMS billing rules for 45332

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 RVU1.72 · 18%
  • Practice expense (office) RVU7.43 · 79%
  • Malpractice RVU0.22 · 2%

331

Medicare services in 2024 · #3917 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.

45332 compared with similar codes

Office rates for Merced, from the same CMS release.

45307

Foreign body removal

Rigid proctosigmoidoscopy

$247.21

Use 45332 when the removal is performed with a flexible sigmoidoscope; 45307 describes rigid proctosigmoidoscopy with foreign-body removal.

45330

Flexible sigmoidoscopy

Diagnostic

$231.34

45330 is for diagnostic flexible sigmoidoscopy without a therapeutic removal. Use 45332 when the endoscopic service includes foreign-body extraction.

45331

Sigmoidoscopy

With biopsy

$348.45

45331 describes flexible sigmoidoscopy with biopsy. It is not the code for retrieving a foreign object.

45333

Flexible sigmoidoscopy

Hot biopsy forceps removal

$395.31

45333 describes flexible sigmoidoscopy with polyp removal. Use 45332 for foreign-body extraction rather than removal of a polyp.

The same code, a different location

How does Merced compare?

In Bakersfield, the office rate for 45332 is $335.01—$0.65 higher than the $334.36 rate in Merced. Both use the same code, release and participation basis.

45332 across payment areas

Same release and payment basis · bars start at $0

  1. Merced · This locality

    $334.36

  2. Bakersfield

    $335.01

    $0.65 higher than Merced

  3. Chico

    $334.36

    The same base rate than Merced

  4. El Centro

    $334.39

    $0.03 higher than Merced

  5. Fresno

    $334.36

    The same base rate than Merced

  6. Hanford-Corcoran

    $334.36

    The same base rate than Merced

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

    $358.27

    $23.91 higher than Merced

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, 45332 ranges from $274.41 in Arkansas to $425.57 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

  • Madera

    California · 45332

    Office

    $334.36

    Facility

    $96.41

    The same base rate than Merced for the office setting.

  • Modesto

    California · 45332

    Office

    $334.36

    Facility

    $96.41

    The same base rate than Merced for the office setting.

  • Napa

    California · 45332

    Office

    $391.89

    Facility

    $105.74

    $57.53 higher than Merced for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 45332

    Office

    $356.97

    Facility

    $100.35

    $22.61 higher than Merced for the office setting.

  • Redding

    California · 45332

    Office

    $334.36

    Facility

    $96.41

    The same base rate than Merced for the office setting.

  • Rest Of California

    California · 45332

    Office

    $334.36

    Facility

    $96.41

    The same base rate than Merced for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 45332

    Office

    $336.74

    Facility

    $98.80

    $2.38 higher than Merced for the office setting.

  • Sacramento-Roseville-Folsom

    California · 45332

    Office

    $352.08

    Facility

    $99.58

    $17.72 higher than Merced for the office setting.

  • Salinas

    California · 45332

    Office

    $350.80

    Facility

    $99.17

    $16.44 higher than Merced for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 45332

    Office

    $359.97

    Facility

    $100.31

    $25.61 higher than Merced for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 45332

    Office

    $416.20

    Facility

    $110.08

    $81.84 higher than Merced for the office setting.

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

    California · 45332

    Office

    $415.95

    Facility

    $109.83

    $81.59 higher than Merced for the office setting.

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

    California · 45332

    Office

    $425.57

    Facility

    $112.50

    $91.21 higher than Merced for the office setting.

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

    California · 45332

    Office

    $424.55

    Facility

    $111.48

    $90.19 higher than Merced for the office setting.

  • San Luis Obispo-Paso Robles

    California · 45332

    Office

    $345.03

    Facility

    $97.75

    $10.67 higher than Merced for the office setting.

  • Santa Cruz-Watsonville

    California · 45332

    Office

    $364.12

    Facility

    $100.34

    $29.76 higher than Merced for the office setting.

  • Santa Maria-Santa Barbara

    California · 45332

    Office

    $352.36

    Facility

    $99.22

    $18.00 higher than Merced for the office setting.

  • Santa Rosa-Petaluma

    California · 45332

    Office

    $367.86

    Facility

    $101.26

    $33.50 higher than Merced for the office setting.

  • Stockton

    California · 45332

    Office

    $334.36

    Facility

    $96.41

    The same base rate than Merced for the office setting.

  • Vallejo

    California · 45332

    Office

    $391.53

    Facility

    $105.38

    $57.17 higher than Merced for the office setting.

  • Visalia

    California · 45332

    Office

    $334.36

    Facility

    $96.41

    The same base rate than Merced for the office setting.

  • Yuba City

    California · 45332

    Office

    $334.36

    Facility

    $96.41

    The same base rate than Merced for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 45332

    Office

    $361.07

    Facility

    $105.32

    $26.71 higher than Merced for the office setting.

  • Miami

    Florida · 45332

    Office

    $334.38

    Facility

    $108.37

    $0.02 higher than Merced for the office setting.

  • Chicago

    Illinois · 45332

    Office

    $324.13

    Facility

    $105.93

    $10.23 lower than Merced for the office setting.

  • Manhattan

    New York · 45332

    Office

    $361.15

    Facility

    $108.88

    $26.79 higher than Merced for the office setting.

  • Alaska*

    Alaska · 45332

    Office

    $354.52

    Facility

    $123.31

    $20.16 higher than Merced for the office setting.

  • Alabama

    Alabama · 45332

    Office

    $278.76

    Facility

    $88.79

    $55.60 lower than Merced for the office setting.

  • Arkansas

    Arkansas · 45332

    Office

    $274.41

    Facility

    $87.92

    $59.95 lower than Merced for the office setting.

  • Arizona

    Arizona · 45332

    Office

    $304.22

    Facility

    $93.84

    $30.14 lower than Merced for the office setting.

  • Colorado

    Colorado · 45332

    Office

    $327.93

    Facility

    $96.93

    $6.43 lower than Merced for the office setting.

  • Connecticut

    Connecticut · 45332

    Office

    $334.77

    Facility

    $100.94

    $0.41 higher than Merced for the office setting.

  • Delaware

    Delaware · 45332

    Office

    $309.53

    Facility

    $95.03

    $24.83 lower than Merced for the office setting.

  • Fort Lauderdale

    Florida · 45332

    Office

    $322.13

    Facility

    $102.20

    $12.23 lower than Merced for the office setting.

  • Rest Of Florida

    Florida · 45332

    Office

    $305.74

    Facility

    $98.19

    $28.62 lower than Merced for the office setting.

  • Atlanta

    Georgia · 45332

    Office

    $318.59

    Facility

    $98.01

    $15.77 lower than Merced for the office setting.

  • Rest Of Georgia

    Georgia · 45332

    Office

    $287.58

    Facility

    $93.92

    $46.78 lower than Merced for the office setting.

  • Hawaii, Guam

    Hawaii · 45332

    Office

    $343.87

    Facility

    $97.02

    $9.51 higher than Merced for the office setting.

  • Iowa

    Iowa · 45332

    Office

    $287.44

    Facility

    $88.79

    $46.92 lower than Merced for the office setting.

  • Idaho

    Idaho · 45332

    Office

    $289.24

    Facility

    $89.50

    $45.12 lower than Merced for the office setting.

  • East St. Louis

    Illinois · 45332

    Office

    $300.56

    Facility

    $100.83

    $33.80 lower than Merced for the office setting.

  • Rest Of Illinois

    Illinois · 45332

    Office

    $295.51

    Facility

    $97.30

    $38.85 lower than Merced for the office setting.

  • Suburban Chicago

    Illinois · 45332

    Office

    $325.74

    Facility

    $102.77

    $8.62 lower than Merced for the office setting.

  • Indiana

    Indiana · 45332

    Office

    $291.07

    Facility

    $89.82

    $43.29 lower than Merced for the office setting.

  • Kansas

    Kansas · 45332

    Office

    $285.50

    Facility

    $89.23

    $48.86 lower than Merced for the office setting.

  • Kentucky

    Kentucky · 45332

    Office

    $284.80

    Facility

    $91.79

    $49.56 lower than Merced for the office setting.

  • New Orleans

    Louisiana · 45332

    Office

    $299.32

    Facility

    $95.03

    $35.04 lower than Merced for the office setting.

  • Rest Of Louisiana

    Louisiana · 45332

    Office

    $284.12

    Facility

    $91.98

    $50.24 lower than Merced for the office setting.

  • Metropolitan Boston

    Massachusetts · 45332

    Office

    $362.66

    Facility

    $103.43

    $28.30 higher than Merced for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 45332

    Office

    $325.55

    Facility

    $96.93

    $8.81 lower than Merced for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 45332

    Office

    $333.74

    Facility

    $100.79

    $0.62 lower than Merced for the office setting.

  • Rest Of Maryland

    Maryland · 45332

    Office

    $315.92

    Facility

    $96.21

    $18.44 lower than Merced for the office setting.

  • Rest Of Maine

    Maine · 45332

    Office

    $290.34

    Facility

    $90.60

    $44.02 lower than Merced for the office setting.

  • Southern Maine

    Maine · 45332

    Office

    $308.02

    Facility

    $92.87

    $26.34 lower than Merced for the office setting.

  • Detroit

    Michigan · 45332

    Office

    $309.32

    Facility

    $99.81

    $25.04 lower than Merced for the office setting.

  • Rest Of Michigan

    Michigan · 45332

    Office

    $292.32

    Facility

    $94.11

    $42.04 lower than Merced for the office setting.

  • Minnesota

    Minnesota · 45332

    Office

    $314.99

    Facility

    $91.59

    $19.37 lower than Merced for the office setting.

  • Metropolitan Kansas City

    Missouri · 45332

    Office

    $297.66

    Facility

    $93.80

    $36.70 lower than Merced for the office setting.

  • Metropolitan St. Louis

    Missouri · 45332

    Office

    $301.07

    Facility

    $94.38

    $33.29 lower than Merced for the office setting.

  • Rest Of Missouri

    Missouri · 45332

    Office

    $278.53

    Facility

    $91.38

    $55.83 lower than Merced for the office setting.

  • Mississippi

    Mississippi · 45332

    Office

    $276.55

    Facility

    $89.62

    $57.81 lower than Merced for the office setting.

  • Montana**

    Montana · 45332

    Office

    $312.95

    Facility

    $95.85

    $21.41 lower than Merced for the office setting.

  • North Carolina

    North Carolina · 45332

    Office

    $293.69

    Facility

    $91.13

    $40.67 lower than Merced for the office setting.

  • North Dakota**

    North Dakota · 45332

    Office

    $308.60

    Facility

    $91.50

    $25.76 lower than Merced for the office setting.

  • Nebraska

    Nebraska · 45332

    Office

    $289.29

    Facility

    $88.90

    $45.07 lower than Merced for the office setting.

  • New Hampshire

    New Hampshire · 45332

    Office

    $322.22

    Facility

    $96.22

    $12.14 lower than Merced for the office setting.

  • Northern Nj

    New Jersey · 45332

    Office

    $356.79

    Facility

    $104.95

    $22.43 higher than Merced for the office setting.

  • Rest Of New Jersey

    New Jersey · 45332

    Office

    $338.81

    Facility

    $101.73

    $4.45 higher than Merced for the office setting.

  • New Mexico

    New Mexico · 45332

    Office

    $293.85

    Facility

    $94.76

    $40.51 lower than Merced for the office setting.

  • Nevada**

    Nevada · 45332

    Office

    $311.99

    Facility

    $94.66

    $22.37 lower than Merced for the office setting.

  • Nyc Suburbs/Long Island

    New York · 45332

    Office

    $369.84

    Facility

    $111.71

    $35.48 higher than Merced for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 45332

    Office

    $340.67

    Facility

    $102.94

    $6.31 higher than Merced for the office setting.

  • Queens

    New York · 45332

    Office

    $365.06

    Facility

    $108.44

    $30.70 higher than Merced for the office setting.

  • Rest Of New York

    New York · 45332

    Office

    $298.38

    Facility

    $92.13

    $35.98 lower than Merced for the office setting.

  • Ohio

    Ohio · 45332

    Office

    $291.43

    Facility

    $93.22

    $42.93 lower than Merced for the office setting.

  • Oklahoma

    Oklahoma · 45332

    Office

    $284.77

    Facility

    $90.90

    $49.59 lower than Merced for the office setting.

  • Portland

    Oregon · 45332

    Office

    $339.55

    Facility

    $98.35

    $5.19 higher than Merced for the office setting.

  • Rest Of Oregon

    Oregon · 45332

    Office

    $309.79

    Facility

    $93.55

    $24.57 lower than Merced for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 45332

    Office

    $325.59

    Facility

    $99.59

    $8.77 lower than Merced for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 45332

    Office

    $292.21

    Facility

    $92.91

    $42.15 lower than Merced for the office setting.

  • Puerto Rico

    Puerto Rico · 45332

    Office

    $315.59

    Facility

    $96.09

    $18.77 lower than Merced for the office setting.

  • Rhode Island

    Rhode Island · 45332

    Office

    $321.45

    Facility

    $97.18

    $12.91 lower than Merced for the office setting.

  • South Carolina

    South Carolina · 45332

    Office

    $293.00

    Facility

    $92.40

    $41.36 lower than Merced for the office setting.

  • South Dakota**

    South Dakota · 45332

    Office

    $308.09

    Facility

    $90.98

    $26.27 lower than Merced for the office setting.

  • Tennessee

    Tennessee · 45332

    Office

    $286.98

    Facility

    $89.63

    $47.38 lower than Merced for the office setting.

  • Austin

    Texas · 45332

    Office

    $326.64

    Facility

    $96.94

    $7.72 lower than Merced for the office setting.

  • Beaumont

    Texas · 45332

    Office

    $290.11

    Facility

    $92.54

    $44.25 lower than Merced for the office setting.

  • Brazoria

    Texas · 45332

    Office

    $309.58

    Facility

    $94.42

    $24.78 lower than Merced for the office setting.

  • Dallas

    Texas · 45332

    Office

    $311.45

    Facility

    $95.21

    $22.91 lower than Merced for the office setting.

  • Fort Worth

    Texas · 45332

    Office

    $309.06

    Facility

    $94.99

    $25.30 lower than Merced for the office setting.

  • Galveston

    Texas · 45332

    Office

    $310.42

    Facility

    $94.84

    $23.94 lower than Merced for the office setting.

  • Houston

    Texas · 45332

    Office

    $314.45

    Facility

    $98.87

    $19.91 lower than Merced for the office setting.

  • Rest Of Texas

    Texas · 45332

    Office

    $299.60

    Facility

    $93.56

    $34.76 lower than Merced for the office setting.

  • Utah

    Utah · 45332

    Office

    $297.33

    Facility

    $93.25

    $37.03 lower than Merced for the office setting.

  • Virginia

    Virginia · 45332

    Office

    $306.59

    Facility

    $93.17

    $27.77 lower than Merced for the office setting.

  • Virgin Islands

    United States Virgin Islands · 45332

    Office

    $315.59

    Facility

    $96.09

    $18.77 lower than Merced for the office setting.

  • Vermont

    Vermont · 45332

    Office

    $306.85

    Facility

    $91.92

    $27.51 lower than Merced for the office setting.

  • Rest Of Washington

    Washington · 45332

    Office

    $325.11

    Facility

    $96.50

    $9.25 lower than Merced for the office setting.

  • Seattle (King Cnty)

    Washington · 45332

    Office

    $370.83

    Facility

    $104.44

    $36.47 higher than Merced for the office setting.

  • Wisconsin

    Wisconsin · 45332

    Office

    $297.46

    Facility

    $89.47

    $36.90 lower than Merced for the office setting.

  • West Virginia

    West Virginia · 45332

    Office

    $283.62

    Facility

    $94.96

    $50.74 lower than Merced for the office setting.

  • Wyoming**

    Wyoming · 45332

    Office

    $311.06

    Facility

    $93.95

    $23.30 lower than Merced for the office setting.

See how rates vary across the country

45332 · 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.

$274.41

$379.97

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$354.521
AL$278.761
AR$274.411
AZ$304.221
CA$334.36–$425.5729
CO$327.931
CT$334.771
DC$361.071
DE$309.531
FL$305.74–$334.383
GA$287.58–$318.592
GU$343.871
HI$343.871
IA$287.441
ID$289.241
IL$295.51–$325.744
IN$291.071
KS$285.501
KY$284.801
LA$284.12–$299.322
MA$325.55–$362.662
MD$315.92–$361.073
ME$290.34–$308.022
MI$292.32–$309.322
MN$314.991
MO$278.53–$301.073
MS$276.551
MT$312.951
NC$293.691
ND$308.601
NE$289.291
NH$322.221
NJ$338.81–$356.792
NM$293.851
NV$311.991
NY$298.38–$369.845
OH$291.431
OK$284.771
OR$309.79–$339.552
PA$292.21–$325.592
PR$315.591
RI$321.451
SC$293.001
SD$308.091
TN$286.981
TX$290.11–$326.648
UT$297.331
VA$306.59–$361.072
VI$315.591
VT$306.851
WA$325.11–$370.832
WI$297.461
WV$283.621
WY$311.061

Explore 45332 on the national rate map →

Where does this rate apply?

Merced is a Medicare payment area. Our Census mapping connects it to 24 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 45332 in Merced, the physician’s office rate is $334.36 and the facility-setting rate is $96.41: a difference of $237.95.

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 45332 in Merced. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$367.80

$334.36 × 110% = $367.80

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 45332 in Merced.

PPRRVU2026_Oct_nonQPP.csv

5,500

Code
45332
Physician work
1.72
Practice expense
7.43
Malpractice
0.22

GPCI2026.csv

15

Locality
Merced
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 45332 in Merced
ComponentRVULocality factorAdjusted
Physician work1.72× 1.0171.7492
Practice expense7.43× 1.0968.1433
Malpractice0.22× 0.5360.1179
Total RVUs10.0104
Conversion factor× 33.4009

Office / nonfacility rate, Merced$334.36

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

Open 45332 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.721.017
Practice expense7.431.096
Malpractice0.220.536

(1.72 × 1.017 + 7.43 × 1.096 + 0.22 × 0.536) × $33.4009 = $334.36

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.721.017
Practice expense0.931.096
Malpractice0.220.536

(1.72 × 1.017 + 0.93 × 1.096 + 0.22 × 0.536) × $33.4009 = $96.41

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

45332 · Office / nonfacility

$334.36

Effective 2026-10-01

The base rate is $52.91 higher than on 2025-10-01, moving from $281.45 to $334.36 (18.8%).

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

    $281.45changed to$334.36

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.76 changed to 1.72
    • Practice expense RVU 6.21 changed to 7.43
    • Malpractice RVU 0.23 changed to 0.22
    • 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: $281.45

    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$334.36$96.41RVU26D
2026-07-01$334.36$96.41RVU26C
2026-04-01$334.36$96.41RVU26B
2026-01-01$334.36$96.41RVU26A
2025-10-01$281.45$102.20RVU25D
2025-07-01$281.45$102.20RVU25C
2025-04-01$281.45$102.20RVU25B
2025-01-01$281.45$102.20RVU25A

45332 billing questions

How does this differ from rigid proctosigmoidoscopy with foreign-body removal?

This code describes removal using a flexible sigmoidoscope. The rigid proctosigmoidoscopy code is the alternative when the documented procedure uses a rigid instrument.

Can diagnostic inspection be reported separately?

The inspection is part of the therapeutic endoscopic service when it accompanies foreign-body removal. Use a diagnostic-only code when no removal or other therapeutic service is performed.

Can a biopsy or polypectomy be reported instead?

No. Biopsy and polyp removal are distinct services with their own flexible sigmoidoscopy codes; select the code that matches the work documented.

Should modifier 50 be appended?

No. Modifier 50 is inappropriate for this descriptor and anatomy.

How does Medicare price related endoscopies performed at the same session?

CMS applies endoscopy-family pricing when related endoscopies are performed together. The code has a 0-day global period, which includes same-day preoperative and postoperative care.

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 45332PPRRVU2026_Oct_nonQPP.csv, line 5,500 (RVU26D)
Geographic factors for MercedGPCI2026.csv, line 15 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet