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CMS RVU26D · Effective 2026-10-01

45915 in Modesto

Office / nonfacility

$422.41

Base rate per service

Facility setting

$234.25

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.

Anorectal procedure

About 45915: Rectal obstruction removal under anesthesia

Report this service when a clinician removes obstructing stool or a foreign body from the rectum under anesthesia.

This service covers removal of obstructing material from the rectum when the work is performed under anesthesia. Typical cases include a substantial fecal impaction or a rectal foreign body that requires procedural extraction rather than routine office or bedside care. Colorectal and general surgeons commonly perform it in a hospital or ambulatory surgical setting; the clinical record should identify the obstruction and describe the removal performed.

Select the code for the extraction itself, not for treatment of a narrowing, sphincter problem, or prolapse that may cause obstructive symptoms. Document the material removed, the anatomic site, the technique, and the use of anesthesia. Medicare assigns a 10-day global period, so related postoperative visits during that period are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate for this code; assistant-at-surgery payment is restricted, and co-surgeons and team surgery are not permitted.

CMS billing rules for 45915

Global period
Minor procedure with a 10-day global period: related postoperative visits for 10 days are included.
Multiple procedures
Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
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 RVU3.11 · 26%
  • Practice expense (office) RVU8.35 · 69%
  • Malpractice RVU0.62 · 5%

1.9K

Medicare services in 2024 · #2492 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.

45915 compared with similar codes

Office rates for Modesto, from the same CMS release.

45910

Rectal dilation

Under anesthesia

No office rate

Choose 45915 for extraction of obstructing material. Choose 45910 when the intervention dilates a rectal narrowing.

45905

Anal dilation

Anal sphincter

No office rate

45905 is for dilation of the anal sphincter; 45915 removes obstructing material from the rectum under anesthesia.

45900

Prolapse reduction

Under anesthesia

No office rate

45900 addresses reduction of rectal prolapse. It is not the extraction code for fecal impaction or a rectal foreign body.

The same code, a different location

How does Modesto compare?

In Bakersfield, the office rate for 45915 is $424.13—$1.72 higher than the $422.41 rate in Modesto. Both use the same code, release and participation basis.

45915 across payment areas

Same release and payment basis · bars start at $0

  1. Modesto · This locality

    $422.41

  2. Bakersfield

    $424.13

    $1.72 higher than Modesto

  3. Chico

    $422.41

    The same base rate than Modesto

  4. El Centro

    $422.52

    $0.11 higher than Modesto

  5. Fresno

    $422.41

    The same base rate than Modesto

  6. Hanford-Corcoran

    $422.41

    The same base rate than Modesto

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

    $451.82

    $29.41 higher than Modesto

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, 45915 ranges from $354.11 in Arkansas to $528.57 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 · 45915

    Office

    $422.41

    Facility

    $234.25

    The same base rate than Modesto for the office setting.

  • Merced

    California · 45915

    Office

    $422.41

    Facility

    $234.25

    The same base rate than Modesto for the office setting.

  • Napa

    California · 45915

    Office

    $488.53

    Facility

    $262.25

    $66.12 higher than Modesto for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 45915

    Office

    $449.34

    Facility

    $246.42

    $26.93 higher than Modesto for the office setting.

  • Redding

    California · 45915

    Office

    $422.41

    Facility

    $234.25

    The same base rate than Modesto for the office setting.

  • Rest Of California

    California · 45915

    Office

    $422.41

    Facility

    $234.25

    The same base rate than Modesto for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 45915

    Office

    $429.08

    Facility

    $240.92

    $6.67 higher than Modesto for the office setting.

  • Sacramento-Roseville-Folsom

    California · 45915

    Office

    $443.07

    Facility

    $243.41

    $20.66 higher than Modesto for the office setting.

  • Salinas

    California · 45915

    Office

    $441.44

    Facility

    $242.46

    $19.03 higher than Modesto for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 45915

    Office

    $451.78

    Facility

    $246.45

    $29.37 higher than Modesto for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 45915

    Office

    $516.50

    Facility

    $274.43

    $94.09 higher than Modesto for the office setting.

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

    California · 45915

    Office

    $515.79

    Facility

    $273.72

    $93.38 higher than Modesto for the office setting.

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

    California · 45915

    Office

    $528.57

    Facility

    $281.01

    $106.16 higher than Modesto for the office setting.

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

    California · 45915

    Office

    $525.69

    Facility

    $278.13

    $103.28 higher than Modesto for the office setting.

  • San Luis Obispo-Paso Robles

    California · 45915

    Office

    $434.41

    Facility

    $238.86

    $12.00 higher than Modesto for the office setting.

  • Santa Cruz-Watsonville

    California · 45915

    Office

    $456.02

    Facility

    $247.43

    $33.61 higher than Modesto for the office setting.

  • Santa Maria-Santa Barbara

    California · 45915

    Office

    $443.08

    Facility

    $242.90

    $20.67 higher than Modesto for the office setting.

  • Santa Rosa-Petaluma

    California · 45915

    Office

    $460.58

    Facility

    $249.76

    $38.17 higher than Modesto for the office setting.

  • Stockton

    California · 45915

    Office

    $422.41

    Facility

    $234.25

    The same base rate than Modesto for the office setting.

  • Vallejo

    California · 45915

    Office

    $487.51

    Facility

    $261.24

    $65.10 higher than Modesto for the office setting.

  • Visalia

    California · 45915

    Office

    $422.41

    Facility

    $234.25

    The same base rate than Modesto for the office setting.

  • Yuba City

    California · 45915

    Office

    $422.41

    Facility

    $234.25

    The same base rate than Modesto for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 45915

    Office

    $461.08

    Facility

    $258.84

    $38.67 higher than Modesto for the office setting.

  • Miami

    Florida · 45915

    Office

    $446.58

    Facility

    $267.86

    $24.17 higher than Modesto for the office setting.

  • Chicago

    Illinois · 45915

    Office

    $432.42

    Facility

    $259.88

    $10.01 higher than Modesto for the office setting.

  • Manhattan

    New York · 45915

    Office

    $467.45

    Facility

    $267.95

    $45.04 higher than Modesto for the office setting.

  • Alaska*

    Alaska · 45915

    Office

    $464.25

    Facility

    $281.41

    $41.84 higher than Modesto for the office setting.

  • Alabama

    Alabama · 45915

    Office

    $359.63

    Facility

    $209.41

    $62.78 lower than Modesto for the office setting.

  • Arkansas

    Arkansas · 45915

    Office

    $354.11

    Facility

    $206.64

    $68.30 lower than Modesto for the office setting.

  • Arizona

    Arizona · 45915

    Office

    $391.86

    Facility

    $225.50

    $30.55 lower than Modesto for the office setting.

  • Colorado

    Colorado · 45915

    Office

    $418.04

    Facility

    $235.38

    $4.37 lower than Modesto for the office setting.

  • Connecticut

    Connecticut · 45915

    Office

    $431.38

    Facility

    $246.48

    $8.97 higher than Modesto for the office setting.

  • Delaware

    Delaware · 45915

    Office

    $398.56

    Facility

    $228.94

    $23.85 lower than Modesto for the office setting.

  • Fort Lauderdale

    Florida · 45915

    Office

    $423.84

    Facility

    $249.93

    $1.43 higher than Modesto for the office setting.

  • Rest Of Florida

    Florida · 45915

    Office

    $401.63

    Facility

    $237.50

    $20.78 lower than Modesto for the office setting.

  • Atlanta

    Georgia · 45915

    Office

    $412.42

    Facility

    $237.99

    $9.99 lower than Modesto for the office setting.

  • Rest Of Georgia

    Georgia · 45915

    Office

    $377.34

    Facility

    $224.20

    $45.07 lower than Modesto for the office setting.

  • Hawaii, Guam

    Hawaii · 45915

    Office

    $432.97

    Facility

    $237.77

    $10.56 higher than Modesto for the office setting.

  • Iowa

    Iowa · 45915

    Office

    $367.29

    Facility

    $210.20

    $55.12 lower than Modesto for the office setting.

  • Idaho

    Idaho · 45915

    Office

    $370.26

    Facility

    $212.31

    $52.15 lower than Modesto for the office setting.

  • East St. Louis

    Illinois · 45915

    Office

    $402.17

    Facility

    $244.22

    $20.24 lower than Modesto for the office setting.

  • Rest Of Illinois

    Illinois · 45915

    Office

    $390.88

    Facility

    $234.13

    $31.53 lower than Modesto for the office setting.

  • Suburban Chicago

    Illinois · 45915

    Office

    $427.73

    Facility

    $251.41

    $5.32 higher than Modesto for the office setting.

  • Indiana

    Indiana · 45915

    Office

    $372.48

    Facility

    $213.33

    $49.93 lower than Modesto for the office setting.

  • Kansas

    Kansas · 45915

    Office

    $366.44

    Facility

    $211.24

    $55.97 lower than Modesto for the office setting.

  • Kentucky

    Kentucky · 45915

    Office

    $370.77

    Facility

    $218.14

    $51.64 lower than Modesto for the office setting.

  • New Orleans

    Louisiana · 45915

    Office

    $389.84

    Facility

    $228.29

    $32.57 lower than Modesto for the office setting.

  • Rest Of Louisiana

    Louisiana · 45915

    Office

    $370.54

    Facility

    $218.60

    $51.87 lower than Modesto for the office setting.

  • Metropolitan Boston

    Massachusetts · 45915

    Office

    $459.57

    Facility

    $254.58

    $37.16 higher than Modesto for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 45915

    Office

    $415.72

    Facility

    $234.94

    $6.69 lower than Modesto for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 45915

    Office

    $430.41

    Facility

    $246.20

    $8.00 higher than Modesto for the office setting.

  • Rest Of Maryland

    Maryland · 45915

    Office

    $406.17

    Facility

    $232.43

    $16.24 lower than Modesto for the office setting.

  • Rest Of Maine

    Maine · 45915

    Office

    $373.34

    Facility

    $215.40

    $49.07 lower than Modesto for the office setting.

  • Southern Maine

    Maine · 45915

    Office

    $393.33

    Facility

    $223.20

    $29.08 lower than Modesto for the office setting.

  • Detroit

    Michigan · 45915

    Office

    $407.93

    Facility

    $242.26

    $14.48 lower than Modesto for the office setting.

  • Rest Of Michigan

    Michigan · 45915

    Office

    $381.89

    Facility

    $225.15

    $40.52 lower than Modesto for the office setting.

  • Minnesota

    Minnesota · 45915

    Office

    $396.99

    Facility

    $220.33

    $25.42 lower than Modesto for the office setting.

  • Metropolitan Kansas City

    Missouri · 45915

    Office

    $385.99

    Facility

    $224.79

    $36.42 lower than Modesto for the office setting.

  • Metropolitan St. Louis

    Missouri · 45915

    Office

    $390.14

    Facility

    $226.70

    $32.27 lower than Modesto for the office setting.

  • Rest Of Missouri

    Missouri · 45915

    Office

    $364.46

    Facility

    $216.47

    $57.95 lower than Modesto for the office setting.

  • Mississippi

    Mississippi · 45915

    Office

    $359.31

    Facility

    $211.49

    $63.10 lower than Modesto for the office setting.

  • Montana**

    Montana · 45915

    Office

    $403.44

    Facility

    $231.76

    $18.97 lower than Modesto for the office setting.

  • North Carolina

    North Carolina · 45915

    Office

    $377.32

    Facility

    $217.14

    $45.09 lower than Modesto for the office setting.

  • North Dakota**

    North Dakota · 45915

    Office

    $391.18

    Facility

    $219.50

    $31.23 lower than Modesto for the office setting.

  • Nebraska

    Nebraska · 45915

    Office

    $369.13

    Facility

    $210.67

    $53.28 lower than Modesto for the office setting.

  • New Hampshire

    New Hampshire · 45915

    Office

    $412.33

    Facility

    $233.61

    $10.08 lower than Modesto for the office setting.

  • Northern Nj

    New Jersey · 45915

    Office

    $456.06

    Facility

    $256.91

    $33.65 higher than Modesto for the office setting.

  • Rest Of New Jersey

    New Jersey · 45915

    Office

    $435.31

    Facility

    $247.83

    $12.90 higher than Modesto for the office setting.

  • New Mexico

    New Mexico · 45915

    Office

    $384.50

    Facility

    $227.07

    $37.91 lower than Modesto for the office setting.

  • Nevada**

    Nevada · 45915

    Office

    $400.30

    Facility

    $228.45

    $22.11 lower than Modesto for the office setting.

  • Nyc Suburbs/Long Island

    New York · 45915

    Office

    $480.59

    Facility

    $276.46

    $58.18 higher than Modesto for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 45915

    Office

    $439.00

    Facility

    $251.01

    $16.59 higher than Modesto for the office setting.

  • Queens

    New York · 45915

    Office

    $470.04

    Facility

    $267.12

    $47.63 higher than Modesto for the office setting.

  • Rest Of New York

    New York · 45915

    Office

    $383.39

    Facility

    $220.29

    $39.02 lower than Modesto for the office setting.

  • Ohio

    Ohio · 45915

    Office

    $379.38

    Facility

    $222.64

    $43.03 lower than Modesto for the office setting.

  • Oklahoma

    Oklahoma · 45915

    Office

    $369.02

    Facility

    $215.71

    $53.39 lower than Modesto for the office setting.

  • Portland

    Oregon · 45915

    Office

    $430.80

    Facility

    $240.06

    $8.39 higher than Modesto for the office setting.

  • Rest Of Oregon

    Oregon · 45915

    Office

    $396.22

    Facility

    $225.22

    $26.19 lower than Modesto for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 45915

    Office

    $420.78

    Facility

    $242.06

    $1.63 lower than Modesto for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 45915

    Office

    $379.47

    Facility

    $221.87

    $42.94 lower than Modesto for the office setting.

  • Puerto Rico

    Puerto Rico · 45915

    Office

    $406.24

    Facility

    $232.67

    $16.17 lower than Modesto for the office setting.

  • Rhode Island

    Rhode Island · 45915

    Office

    $412.42

    Facility

    $235.08

    $9.99 lower than Modesto for the office setting.

  • South Carolina

    South Carolina · 45915

    Office

    $379.18

    Facility

    $220.55

    $43.23 lower than Modesto for the office setting.

  • South Dakota**

    South Dakota · 45915

    Office

    $389.73

    Facility

    $218.05

    $32.68 lower than Modesto for the office setting.

  • Tennessee

    Tennessee · 45915

    Office

    $368.52

    Facility

    $212.46

    $53.89 lower than Modesto for the office setting.

  • Austin

    Texas · 45915

    Office

    $417.51

    Facility

    $235.87

    $4.90 lower than Modesto for the office setting.

  • Beaumont

    Texas · 45915

    Office

    $376.91

    Facility

    $220.68

    $45.50 lower than Modesto for the office setting.

  • Brazoria

    Texas · 45915

    Office

    $397.25

    Facility

    $227.11

    $25.16 lower than Modesto for the office setting.

  • Dallas

    Texas · 45915

    Office

    $400.36

    Facility

    $229.37

    $22.05 lower than Modesto for the office setting.

  • Fort Worth

    Texas · 45915

    Office

    $397.84

    Facility

    $228.56

    $24.57 lower than Modesto for the office setting.

  • Galveston

    Texas · 45915

    Office

    $398.80

    Facility

    $228.32

    $23.61 lower than Modesto for the office setting.

  • Houston

    Texas · 45915

    Office

    $410.15

    Facility

    $239.67

    $12.26 lower than Modesto for the office setting.

  • Rest Of Texas

    Texas · 45915

    Office

    $387.25

    Facility

    $224.33

    $35.16 lower than Modesto for the office setting.

  • Utah

    Utah · 45915

    Office

    $384.64

    Facility

    $223.26

    $37.77 lower than Modesto for the office setting.

  • Virginia

    Virginia · 45915

    Office

    $392.65

    Facility

    $223.89

    $29.76 lower than Modesto for the office setting.

  • Virgin Islands

    United States Virgin Islands · 45915

    Office

    $406.24

    Facility

    $232.67

    $16.17 lower than Modesto for the office setting.

  • Vermont

    Vermont · 45915

    Office

    $390.46

    Facility

    $220.50

    $31.95 lower than Modesto for the office setting.

  • Rest Of Washington

    Washington · 45915

    Office

    $414.67

    Facility

    $233.89

    $7.74 lower than Modesto for the office setting.

  • Seattle (King Cnty)

    Washington · 45915

    Office

    $468.20

    Facility

    $257.54

    $45.79 higher than Modesto for the office setting.

  • Wisconsin

    Wisconsin · 45915

    Office

    $377.44

    Facility

    $212.97

    $44.97 lower than Modesto for the office setting.

  • West Virginia

    West Virginia · 45915

    Office

    $375.87

    Facility

    $226.68

    $46.54 lower than Modesto for the office setting.

  • Wyoming**

    Wyoming · 45915

    Office

    $398.10

    Facility

    $226.42

    $24.31 lower than Modesto for the office setting.

See how rates vary across the country

45915 · 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.

$354.11

$475.49

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$464.251
AL$359.631
AR$354.111
AZ$391.861
CA$422.41–$528.5729
CO$418.041
CT$431.381
DC$461.081
DE$398.561
FL$401.63–$446.583
GA$377.34–$412.422
GU$432.971
HI$432.971
IA$367.291
ID$370.261
IL$390.88–$432.424
IN$372.481
KS$366.441
KY$370.771
LA$370.54–$389.842
MA$415.72–$459.572
MD$406.17–$461.083
ME$373.34–$393.332
MI$381.89–$407.932
MN$396.991
MO$364.46–$390.143
MS$359.311
MT$403.441
NC$377.321
ND$391.181
NE$369.131
NH$412.331
NJ$435.31–$456.062
NM$384.501
NV$400.301
NY$383.39–$480.595
OH$379.381
OK$369.021
OR$396.22–$430.802
PA$379.47–$420.782
PR$406.241
RI$412.421
SC$379.181
SD$389.731
TN$368.521
TX$376.91–$417.518
UT$384.641
VA$392.65–$461.082
VI$406.241
VT$390.461
WA$414.67–$468.202
WI$377.441
WV$375.871
WY$398.101

Explore 45915 on the national rate map →

Where does this rate apply?

Modesto is a Medicare payment area. Our Census mapping connects it to 33 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 45915 in Modesto, the physician’s office rate is $422.41 and the facility-setting rate is $234.25: a difference of $188.16.

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 45915 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$464.65

$422.41 × 110% = $464.65

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 45915 in Modesto.

PPRRVU2026_Oct_nonQPP.csv

5,567

Code
45915
Physician work
3.11
Practice expense
8.35
Malpractice
0.62

GPCI2026.csv

16

Locality
Modesto
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 45915 in Modesto
ComponentRVULocality factorAdjusted
Physician work3.11× 1.0173.1629
Practice expense8.35× 1.0969.1516
Malpractice0.62× 0.5360.3323
Total RVUs12.6468
Conversion factor× 33.4009

Office / nonfacility rate, Modesto$422.41

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

Open 45915 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work3.111.017
Practice expense8.351.096
Malpractice0.620.536

(3.11 × 1.017 + 8.35 × 1.096 + 0.62 × 0.536) × $33.4009 = $422.41

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work3.111.017
Practice expense3.211.096
Malpractice0.620.536

(3.11 × 1.017 + 3.21 × 1.096 + 0.62 × 0.536) × $33.4009 = $234.25

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

45915 · Office / nonfacility

$422.41

Effective 2026-10-01

The base rate is $62.96 higher than on 2025-10-01, moving from $359.45 to $422.41 (17.5%).

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

    $359.45changed to$422.41

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.19 changed to 3.11
    • Practice expense RVU 6.90 changed to 8.35
    • Malpractice RVU 0.60 changed to 0.62
    • 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: $359.45

    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$422.41$234.25RVU26D
2026-07-01$422.41$234.25RVU26C
2026-04-01$422.41$234.25RVU26B
2026-01-01$422.41$234.25RVU26A
2025-10-01$359.45$227.93RVU25D
2025-07-01$359.45$227.93RVU25C
2025-04-01$359.45$227.93RVU25B
2025-01-01$359.45$227.93RVU25A

45915 billing questions

When should this code be chosen instead of rectal dilation?

Use this code when the service removes obstructing material from the rectum. Code 45910 describes dilation of a rectal narrowing, rather than extraction.

Does the code include anesthesia?

The service is defined as being performed under anesthesia. Document the anesthesia and the extraction performed; this code does not represent a separately reported anesthesia service.

Can modifier 50 be used?

No. The code’s descriptor and anatomy make bilateral reporting with modifier 50 inappropriate.

How are other procedures in the same session paid?

The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction. Related postoperative visits during the 10-day global period are included.

Can an assistant or co-surgeon be reported?

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

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 45915PPRRVU2026_Oct_nonQPP.csv, line 5,567 (RVU26D)
Geographic factors for ModestoGPCI2026.csv, line 16 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet