No office rate
Both codes describe transanal rectal tumor excision. Choose 45172 when the excision includes full-thickness rectal wall; 45171 describes excision without that extent.
On this page
CMS RVU26D · Effective 2026-10-01
45172 in Redding
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$799.64
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.
Colorectal surgery
About 45172: Full-thickness transanal rectal tumor excision
A colorectal surgeon removes a localized rectal tumor through the anus with a full-thickness segment of rectal wall, typically as definitive local treatment.
A colorectal surgeon excises a rectal tumor through the anus, removing the lesion along with the full thickness of the rectal wall at the operative site. This is a local excision rather than removal of the rectum. The service is generally performed in an operating room for a rectal lesion selected for transanal surgical treatment; the excised tissue is available for pathologic examination.
Report this code when the operative note supports a transanal approach and full-thickness removal of the rectal wall, not a superficial or partial-thickness excision. Document the lesion treated and the extent and route of excision. The code has a 90-day global period, including the day-before preoperative visit and related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for this single-organ procedure. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery billing is not permitted.
CMS billing rules for 45172
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care 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
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU11.83 · 50%
- Practice expense (office) RVU9.81 · 41%
- Malpractice RVU2.16 · 9%
2K
Medicare services in 2024 · #2477 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.
45172 compared with similar codes
Office rates for Redding, from the same CMS release.
45160
No office rateRectal lesion excision
This code is for tumor excision through a transsacral or transcoccygeal route. 45172 uses a transanal route and includes full-thickness wall excision.
No office rate
45100 describes rectal biopsy for tissue sampling. 45172 describes removal of the tumor with full-thickness rectal wall excision.
No office rate
45190 describes destruction of a rectal tumor. 45172 is used when the tumor and full-thickness rectal wall are excised.
The same code, a different location
How does Redding compare?
45172 across payment areas
Same release and payment basis · bars start at $0
Redding · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
No comparable rate is available in this setting.
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
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 · 45172
Office
Unavailable
Facility
$799.64
No comparable office rate is available.
Merced
California · 45172
Office
Unavailable
Facility
$799.64
No comparable office rate is available.
Modesto
California · 45172
Office
Unavailable
Facility
$799.64
No comparable office rate is available.
Napa
California · 45172
Office
Unavailable
Facility
$888.54
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 45172
Office
Unavailable
Facility
$838.44
No comparable office rate is available.
Rest Of California
California · 45172
Office
Unavailable
Facility
$799.64
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 45172
Office
Unavailable
Facility
$822.90
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 45172
Office
Unavailable
Facility
$829.10
No comparable office rate is available.
Salinas
California · 45172
Office
Unavailable
Facility
$825.81
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 45172
Office
Unavailable
Facility
$837.97
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 45172
Office
Unavailable
Facility
$927.79
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 45172
Office
Unavailable
Facility
$925.34
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 45172
Office
Unavailable
Facility
$949.76
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 45172
Office
Unavailable
Facility
$939.73
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 45172
Office
Unavailable
Facility
$813.73
No comparable office rate is available.
Santa Cruz-Watsonville
California · 45172
Office
Unavailable
Facility
$840.21
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 45172
Office
Unavailable
Facility
$826.92
No comparable office rate is available.
Santa Rosa-Petaluma
California · 45172
Office
Unavailable
Facility
$848.03
No comparable office rate is available.
Stockton
California · 45172
Office
Unavailable
Facility
$799.64
No comparable office rate is available.
Vallejo
California · 45172
Office
Unavailable
Facility
$885.00
No comparable office rate is available.
Visalia
California · 45172
Office
Unavailable
Facility
$799.64
No comparable office rate is available.
Yuba City
California · 45172
Office
Unavailable
Facility
$799.64
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 45172
Office
Unavailable
Facility
$882.76
No comparable office rate is available.
Miami
Florida · 45172
Office
Unavailable
Facility
$918.69
No comparable office rate is available.
Chicago
Illinois · 45172
Office
Unavailable
Facility
$892.77
No comparable office rate is available.
Manhattan
New York · 45172
Office
Unavailable
Facility
$915.59
No comparable office rate is available.
Alaska*
Alaska · 45172
Office
Unavailable
Facility
$981.41
No comparable office rate is available.
Alabama
Alabama · 45172
Office
Unavailable
Facility
$722.67
No comparable office rate is available.
Arkansas
Arkansas · 45172
Office
Unavailable
Facility
$713.75
No comparable office rate is available.
Arizona
Arizona · 45172
Office
Unavailable
Facility
$774.39
No comparable office rate is available.
Colorado
Colorado · 45172
Office
Unavailable
Facility
$804.85
No comparable office rate is available.
Connecticut
Connecticut · 45172
Office
Unavailable
Facility
$843.22
No comparable office rate is available.
Delaware
Delaware · 45172
Office
Unavailable
Facility
$785.70
No comparable office rate is available.
Fort Lauderdale
Florida · 45172
Office
Unavailable
Facility
$857.49
No comparable office rate is available.
Rest Of Florida
Florida · 45172
Office
Unavailable
Facility
$816.81
No comparable office rate is available.
Atlanta
Georgia · 45172
Office
Unavailable
Facility
$815.87
No comparable office rate is available.
Rest Of Georgia
Georgia · 45172
Office
Unavailable
Facility
$773.41
No comparable office rate is available.
Hawaii, Guam
Hawaii · 45172
Office
Unavailable
Facility
$809.46
No comparable office rate is available.
Iowa
Iowa · 45172
Office
Unavailable
Facility
$723.59
No comparable office rate is available.
Idaho
Idaho · 45172
Office
Unavailable
Facility
$730.71
No comparable office rate is available.
East St. Louis
Illinois · 45172
Office
Unavailable
Facility
$841.88
No comparable office rate is available.
Rest Of Illinois
Illinois · 45172
Office
Unavailable
Facility
$807.05
No comparable office rate is available.
Suburban Chicago
Illinois · 45172
Office
Unavailable
Facility
$862.25
No comparable office rate is available.
Indiana
Indiana · 45172
Office
Unavailable
Facility
$733.94
No comparable office rate is available.
Kansas
Kansas · 45172
Office
Unavailable
Facility
$727.70
No comparable office rate is available.
Kentucky
Kentucky · 45172
Office
Unavailable
Facility
$752.44
No comparable office rate is available.
New Orleans
Louisiana · 45172
Office
Unavailable
Facility
$785.42
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 45172
Office
Unavailable
Facility
$754.23
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 45172
Office
Unavailable
Facility
$866.77
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 45172
Office
Unavailable
Facility
$803.98
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 45172
Office
Unavailable
Facility
$842.28
No comparable office rate is available.
Rest Of Maryland
Maryland · 45172
Office
Unavailable
Facility
$796.91
No comparable office rate is available.
Rest Of Maine
Maine · 45172
Office
Unavailable
Facility
$741.46
No comparable office rate is available.
Southern Maine
Maine · 45172
Office
Unavailable
Facility
$765.37
No comparable office rate is available.
Detroit
Michigan · 45172
Office
Unavailable
Facility
$832.97
No comparable office rate is available.
Rest Of Michigan
Michigan · 45172
Office
Unavailable
Facility
$775.74
No comparable office rate is available.
Minnesota
Minnesota · 45172
Office
Unavailable
Facility
$753.65
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 45172
Office
Unavailable
Facility
$773.29
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 45172
Office
Unavailable
Facility
$779.36
No comparable office rate is available.
Rest Of Missouri
Missouri · 45172
Office
Unavailable
Facility
$747.85
No comparable office rate is available.
Mississippi
Mississippi · 45172
Office
Unavailable
Facility
$730.57
No comparable office rate is available.
Montana**
Montana · 45172
Office
Unavailable
Facility
$794.80
No comparable office rate is available.
North Carolina
North Carolina · 45172
Office
Unavailable
Facility
$746.94
No comparable office rate is available.
North Dakota**
North Dakota · 45172
Office
Unavailable
Facility
$752.09
No comparable office rate is available.
Nebraska
Nebraska · 45172
Office
Unavailable
Facility
$724.84
No comparable office rate is available.
New Hampshire
New Hampshire · 45172
Office
Unavailable
Facility
$799.36
No comparable office rate is available.
Northern Nj
New Jersey · 45172
Office
Unavailable
Facility
$877.17
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 45172
Office
Unavailable
Facility
$847.89
No comparable office rate is available.
New Mexico
New Mexico · 45172
Office
Unavailable
Facility
$782.25
No comparable office rate is available.
Nevada**
Nevada · 45172
Office
Unavailable
Facility
$783.22
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 45172
Office
Unavailable
Facility
$943.99
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 45172
Office
Unavailable
Facility
$859.00
No comparable office rate is available.
Queens
New York · 45172
Office
Unavailable
Facility
$911.75
No comparable office rate is available.
Rest Of New York
New York · 45172
Office
Unavailable
Facility
$757.13
No comparable office rate is available.
Ohio
Ohio · 45172
Office
Unavailable
Facility
$767.01
No comparable office rate is available.
Oklahoma
Oklahoma · 45172
Office
Unavailable
Facility
$743.79
No comparable office rate is available.
Portland
Oregon · 45172
Office
Unavailable
Facility
$819.16
No comparable office rate is available.
Rest Of Oregon
Oregon · 45172
Office
Unavailable
Facility
$772.20
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 45172
Office
Unavailable
Facility
$829.41
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 45172
Office
Unavailable
Facility
$764.11
No comparable office rate is available.
Puerto Rico
Puerto Rico · 45172
Office
Unavailable
Facility
$797.46
No comparable office rate is available.
Rhode Island
Rhode Island · 45172
Office
Unavailable
Facility
$805.47
No comparable office rate is available.
South Carolina
South Carolina · 45172
Office
Unavailable
Facility
$759.22
No comparable office rate is available.
South Dakota**
South Dakota · 45172
Office
Unavailable
Facility
$747.04
No comparable office rate is available.
Tennessee
Tennessee · 45172
Office
Unavailable
Facility
$731.72
No comparable office rate is available.
Austin
Texas · 45172
Office
Unavailable
Facility
$806.51
No comparable office rate is available.
Beaumont
Texas · 45172
Office
Unavailable
Facility
$760.33
No comparable office rate is available.
Brazoria
Texas · 45172
Office
Unavailable
Facility
$779.28
No comparable office rate is available.
Dallas
Texas · 45172
Office
Unavailable
Facility
$786.94
No comparable office rate is available.
Fort Worth
Texas · 45172
Office
Unavailable
Facility
$784.60
No comparable office rate is available.
Galveston
Texas · 45172
Office
Unavailable
Facility
$783.40
No comparable office rate is available.
Houston
Texas · 45172
Office
Unavailable
Facility
$822.94
No comparable office rate is available.
Rest Of Texas
Texas · 45172
Office
Unavailable
Facility
$771.23
No comparable office rate is available.
Utah
Utah · 45172
Office
Unavailable
Facility
$767.92
No comparable office rate is available.
Virginia
Virginia · 45172
Office
Unavailable
Facility
$768.16
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 45172
Office
Unavailable
Facility
$797.46
No comparable office rate is available.
Vermont
Vermont · 45172
Office
Unavailable
Facility
$756.02
No comparable office rate is available.
Rest Of Washington
Washington · 45172
Office
Unavailable
Facility
$800.20
No comparable office rate is available.
Seattle (King Cnty)
Washington · 45172
Office
Unavailable
Facility
$875.87
No comparable office rate is available.
Wisconsin
Wisconsin · 45172
Office
Unavailable
Facility
$731.25
No comparable office rate is available.
West Virginia
West Virginia · 45172
Office
Unavailable
Facility
$783.11
No comparable office rate is available.
Wyoming**
Wyoming · 45172
Office
Unavailable
Facility
$776.18
No comparable office rate is available.
See how rates vary across the country
45172 · 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.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Where does this rate apply?
Redding is a Medicare payment area. Our Census mapping connects it to 32 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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 45172 in Redding. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$879.60
$799.64 × 110% = $879.60
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 45172 in Redding.
PPRRVU2026_Oct_nonQPP.csv
5,483
- Code
- 45172
- Physician work
- 11.83
- Practice expense
- 9.81
- Malpractice
- 2.16
GPCI2026.csv
19
- Locality
- Redding
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 11.83 | × 1.017 | 12.0311 |
| Practice expense | 9.81 | × 1.096 | 10.7518 |
| Malpractice | 2.16 | × 0.536 | 1.1578 |
| Total RVUs | 23.9406 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Redding$799.64
Open 45172 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 11.83 | 1.017 |
| Practice expense | 9.81 | 1.096 |
| Malpractice | 2.16 | 0.536 |
(11.83 × 1.017 + 9.81 × 1.096 + 2.16 × 0.536) × $33.4009 = $799.64
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
45172 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
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 from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $799.64 | RVU26D |
| 2026-07-01 | Not available in this setting | $799.64 | RVU26C |
| 2026-04-01 | Not available in this setting | $799.64 | RVU26B |
| 2026-01-01 | Not available in this setting | $799.64 | RVU26A |
| 2025-10-01 | Not available in this setting | $811.55 | RVU25D |
| 2025-07-01 | Not available in this setting | $811.55 | RVU25C |
| 2025-04-01 | Not available in this setting | $811.55 | RVU25B |
| 2025-01-01 | Not available in this setting | $811.55 | RVU25A |
45172 billing questions
How does this differ from 45171?
45172 is for transanal excision that removes the full thickness of the rectal wall. Use 45171 for the transanal tumor excision that does not require full-thickness removal.
Is a transanal biopsy reported with this excision?
A biopsy code describes tissue sampling, while 45172 describes definitive full-thickness tumor excision. The operative documentation should establish whether an excision or only a diagnostic sample was performed.
Can modifier 50 be used for tumors on both sides of the rectum?
No. Modifier 50 is inappropriate for this rectal excision; report the service as a single procedure.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care for the operation.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery billing is not permitted.
What happens when another procedure is performed in the same session?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50% when performed in the same session.
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.
5,48045150,,Excision of rectal stricture,A,,5.70,5.31,NA,5.31,,1.51,12.52,12.52,0,090,0.09,0.81,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,48145160,,Excision of rectal lesion,A,,15.92,9.06,NA,9.06,,4.25,29.23,29.23,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,48245171,,Exc rect tum transanal part,A,,7.93,8.83,NA,8.83,,1.56,18.32,18.32,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,48345172,,Exc rect tum transanal full,A,,11.83,9.81,NA,9.81,,2.16,23.80,23.80,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,48445190,,Destruction rectal tumor,A,,10.16,8.52,NA,8.52,,1.45,20.13,20.13,0,090,0.09,0.81,0.10,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,4854525F,,Neuropsychia interven order,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
5,4864526F,,Neuropsychia interven rcvd,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
1601112,CA,60,MODESTO,1.017,1.096,0.536
1701112,CA,51,NAPA,1.063,1.318,0.508
1801182,CA,17,OXNARD-THOUSAND OAKS-VENTURA,1.028,1.182,0.623
1901112,CA,61,REDDING,1.017,1.096,0.536
2001112,CA,62,RIVERSIDE-SAN BERNARDINO-ONTARIO,1.018,1.096,0.853
2101112,CA,63,SACRAMENTO-ROSEVILLE-FOLSOM,1.036,1.163,0.536
2201112,CA,64,SALINAS,1.031,1.159,0.536