No office rate
Choose 45505 when the repair is reached through the anal canal; 45500 represents a perineal approach.
On this page
CMS RVU26D · Effective 2026-10-01
45505 in Redding
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$602.43
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 45505: Transanal repair of rectal defect
Reports direct surgical closure of a rectal defect approached through the anal canal, such as a localized rectal injury accessible from below.
This service involves reaching a rectal defect through the anal canal and closing it directly. A colorectal or general surgeon may perform it for a localized rectal wall injury or defect that can be exposed and repaired from below, typically in an operating room. The operative approach distinguishes this service from repairs requiring perineal or abdominal access.
Select the code from the approach and work documented, not from the diagnosis alone. The operative report should identify the rectal defect, its location, the transanal access, and the repair performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.
CMS billing rules for 45505
- 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
- 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 RVU8.15 · 46%
- Practice expense (office) RVU8.18 · 46%
- Malpractice RVU1.46 · 8%
426
Medicare services in 2024 · #3681 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.
45505 compared with similar codes
Office rates for Redding, from the same CMS release.
No office rate
45562 describes exploration and repair through an abdominal approach. Use 45505 for a repair performed through the anal canal.
No office rate
45563 is an abdominal exploration-and-repair option; 45505 is selected for the transanal approach.
$182.13
45520 addresses treatment of rectal prolapse, not direct closure of a rectal defect or injury.
The same code, a different location
How does Redding compare?
45505 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 · 45505
Office
Unavailable
Facility
$602.43
No comparable office rate is available.
Merced
California · 45505
Office
Unavailable
Facility
$602.43
No comparable office rate is available.
Modesto
California · 45505
Office
Unavailable
Facility
$602.43
No comparable office rate is available.
Napa
California · 45505
Office
Unavailable
Facility
$674.24
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 45505
Office
Unavailable
Facility
$633.17
No comparable office rate is available.
Rest Of California
California · 45505
Office
Unavailable
Facility
$602.43
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 45505
Office
Unavailable
Facility
$618.16
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 45505
Office
Unavailable
Facility
$625.91
No comparable office rate is available.
Salinas
California · 45505
Office
Unavailable
Facility
$623.46
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 45505
Office
Unavailable
Facility
$633.59
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 45505
Office
Unavailable
Facility
$705.70
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 45505
Office
Unavailable
Facility
$704.04
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 45505
Office
Unavailable
Facility
$722.28
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 45505
Office
Unavailable
Facility
$715.50
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 45505
Office
Unavailable
Facility
$614.18
No comparable office rate is available.
Santa Cruz-Watsonville
California · 45505
Office
Unavailable
Facility
$636.03
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 45505
Office
Unavailable
Facility
$624.55
No comparable office rate is available.
Santa Rosa-Petaluma
California · 45505
Office
Unavailable
Facility
$642.04
No comparable office rate is available.
Stockton
California · 45505
Office
Unavailable
Facility
$602.43
No comparable office rate is available.
Vallejo
California · 45505
Office
Unavailable
Facility
$671.85
No comparable office rate is available.
Visalia
California · 45505
Office
Unavailable
Facility
$602.43
No comparable office rate is available.
Yuba City
California · 45505
Office
Unavailable
Facility
$602.43
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 45505
Office
Unavailable
Facility
$663.05
No comparable office rate is available.
Miami
Florida · 45505
Office
Unavailable
Facility
$679.97
No comparable office rate is available.
Chicago
Illinois · 45505
Office
Unavailable
Facility
$660.62
No comparable office rate is available.
Manhattan
New York · 45505
Office
Unavailable
Facility
$684.46
No comparable office rate is available.
Alaska*
Alaska · 45505
Office
Unavailable
Facility
$726.17
No comparable office rate is available.
Alabama
Alabama · 45505
Office
Unavailable
Facility
$538.89
No comparable office rate is available.
Arkansas
Arkansas · 45505
Office
Unavailable
Facility
$532.03
No comparable office rate is available.
Arizona
Arizona · 45505
Office
Unavailable
Facility
$578.71
No comparable office rate is available.
Colorado
Colorado · 45505
Office
Unavailable
Facility
$604.28
No comparable office rate is available.
Connecticut
Connecticut · 45505
Office
Unavailable
Facility
$630.92
No comparable office rate is available.
Delaware
Delaware · 45505
Office
Unavailable
Facility
$587.36
No comparable office rate is available.
Fort Lauderdale
Florida · 45505
Office
Unavailable
Facility
$637.16
No comparable office rate is available.
Rest Of Florida
Florida · 45505
Office
Unavailable
Facility
$606.71
No comparable office rate is available.
Atlanta
Georgia · 45505
Office
Unavailable
Facility
$609.19
No comparable office rate is available.
Rest Of Georgia
Georgia · 45505
Office
Unavailable
Facility
$574.06
No comparable office rate is available.
Hawaii, Guam
Hawaii · 45505
Office
Unavailable
Facility
$611.10
No comparable office rate is available.
Iowa
Iowa · 45505
Office
Unavailable
Facility
$541.57
No comparable office rate is available.
Idaho
Idaho · 45505
Office
Unavailable
Facility
$546.65
No comparable office rate is available.
East St. Louis
Illinois · 45505
Office
Unavailable
Facility
$621.79
No comparable office rate is available.
Rest Of Illinois
Illinois · 45505
Office
Unavailable
Facility
$597.89
No comparable office rate is available.
Suburban Chicago
Illinois · 45505
Office
Unavailable
Facility
$641.13
No comparable office rate is available.
Indiana
Indiana · 45505
Office
Unavailable
Facility
$549.19
No comparable office rate is available.
Kansas
Kansas · 45505
Office
Unavailable
Facility
$543.79
No comparable office rate is available.
Kentucky
Kentucky · 45505
Office
Unavailable
Facility
$559.73
No comparable office rate is available.
New Orleans
Louisiana · 45505
Office
Unavailable
Facility
$584.71
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 45505
Office
Unavailable
Facility
$560.73
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 45505
Office
Unavailable
Facility
$653.00
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 45505
Office
Unavailable
Facility
$603.14
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 45505
Office
Unavailable
Facility
$630.06
No comparable office rate is available.
Rest Of Maryland
Maryland · 45505
Office
Unavailable
Facility
$596.20
No comparable office rate is available.
Rest Of Maine
Maine · 45505
Office
Unavailable
Facility
$553.91
No comparable office rate is available.
Southern Maine
Maine · 45505
Office
Unavailable
Facility
$573.75
No comparable office rate is available.
Detroit
Michigan · 45505
Office
Unavailable
Facility
$618.09
No comparable office rate is available.
Rest Of Michigan
Michigan · 45505
Office
Unavailable
Facility
$576.72
No comparable office rate is available.
Minnesota
Minnesota · 45505
Office
Unavailable
Facility
$567.79
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 45505
Office
Unavailable
Facility
$576.41
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 45505
Office
Unavailable
Facility
$581.19
No comparable office rate is available.
Rest Of Missouri
Missouri · 45505
Office
Unavailable
Facility
$555.23
No comparable office rate is available.
Mississippi
Mississippi · 45505
Office
Unavailable
Facility
$543.50
No comparable office rate is available.
Montana**
Montana · 45505
Office
Unavailable
Facility
$594.10
No comparable office rate is available.
North Carolina
North Carolina · 45505
Office
Unavailable
Facility
$558.29
No comparable office rate is available.
North Dakota**
North Dakota · 45505
Office
Unavailable
Facility
$565.24
No comparable office rate is available.
Nebraska
Nebraska · 45505
Office
Unavailable
Facility
$542.83
No comparable office rate is available.
New Hampshire
New Hampshire · 45505
Office
Unavailable
Facility
$599.31
No comparable office rate is available.
Northern Nj
New Jersey · 45505
Office
Unavailable
Facility
$658.38
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 45505
Office
Unavailable
Facility
$634.96
No comparable office rate is available.
New Mexico
New Mexico · 45505
Office
Unavailable
Facility
$581.33
No comparable office rate is available.
Nevada**
Nevada · 45505
Office
Unavailable
Facility
$586.33
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 45505
Office
Unavailable
Facility
$705.05
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 45505
Office
Unavailable
Facility
$642.65
No comparable office rate is available.
Queens
New York · 45505
Office
Unavailable
Facility
$682.90
No comparable office rate is available.
Rest Of New York
New York · 45505
Office
Unavailable
Facility
$566.06
No comparable office rate is available.
Ohio
Ohio · 45505
Office
Unavailable
Facility
$570.82
No comparable office rate is available.
Oklahoma
Oklahoma · 45505
Office
Unavailable
Facility
$554.09
No comparable office rate is available.
Portland
Oregon · 45505
Office
Unavailable
Facility
$616.40
No comparable office rate is available.
Rest Of Oregon
Oregon · 45505
Office
Unavailable
Facility
$578.63
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 45505
Office
Unavailable
Facility
$619.72
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 45505
Office
Unavailable
Facility
$569.12
No comparable office rate is available.
Puerto Rico
Puerto Rico · 45505
Office
Unavailable
Facility
$596.48
No comparable office rate is available.
Rhode Island
Rhode Island · 45505
Office
Unavailable
Facility
$603.12
No comparable office rate is available.
South Carolina
South Carolina · 45505
Office
Unavailable
Facility
$566.12
No comparable office rate is available.
South Dakota**
South Dakota · 45505
Office
Unavailable
Facility
$561.82
No comparable office rate is available.
Tennessee
Tennessee · 45505
Office
Unavailable
Facility
$546.76
No comparable office rate is available.
Austin
Texas · 45505
Office
Unavailable
Facility
$605.03
No comparable office rate is available.
Beaumont
Texas · 45505
Office
Unavailable
Facility
$566.15
No comparable office rate is available.
Brazoria
Texas · 45505
Office
Unavailable
Facility
$583.19
No comparable office rate is available.
Dallas
Texas · 45505
Office
Unavailable
Facility
$588.63
No comparable office rate is available.
Fort Worth
Texas · 45505
Office
Unavailable
Facility
$586.54
No comparable office rate is available.
Galveston
Texas · 45505
Office
Unavailable
Facility
$586.08
No comparable office rate is available.
Houston
Texas · 45505
Office
Unavailable
Facility
$612.80
No comparable office rate is available.
Rest Of Texas
Texas · 45505
Office
Unavailable
Facility
$575.54
No comparable office rate is available.
Utah
Utah · 45505
Office
Unavailable
Facility
$572.83
No comparable office rate is available.
Virginia
Virginia · 45505
Office
Unavailable
Facility
$575.22
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 45505
Office
Unavailable
Facility
$596.48
No comparable office rate is available.
Vermont
Vermont · 45505
Office
Unavailable
Facility
$567.38
No comparable office rate is available.
Rest Of Washington
Washington · 45505
Office
Unavailable
Facility
$600.57
No comparable office rate is available.
Seattle (King Cnty)
Washington · 45505
Office
Unavailable
Facility
$660.91
No comparable office rate is available.
Wisconsin
Wisconsin · 45505
Office
Unavailable
Facility
$548.98
No comparable office rate is available.
West Virginia
West Virginia · 45505
Office
Unavailable
Facility
$579.43
No comparable office rate is available.
Wyoming**
Wyoming · 45505
Office
Unavailable
Facility
$581.52
No comparable office rate is available.
See how rates vary across the country
45505 · 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 45505 in Redding. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$662.67
$602.43 × 110% = $662.67
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 45505 in Redding.
PPRRVU2026_Oct_nonQPP.csv
5,538
- Code
- 45505
- Physician work
- 8.15
- Practice expense
- 8.18
- Malpractice
- 1.46
GPCI2026.csv
19
- Locality
- Redding
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.15 | × 1.017 | 8.2885 |
| Practice expense | 8.18 | × 1.096 | 8.9653 |
| Malpractice | 1.46 | × 0.536 | 0.7826 |
| Total RVUs | 18.0364 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Redding$602.43
Open 45505 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.15 | 1.017 |
| Practice expense | 8.18 | 1.096 |
| Malpractice | 1.46 | 0.536 |
(8.15 × 1.017 + 8.18 × 1.096 + 1.46 × 0.536) × $33.4009 = $602.43
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
45505 · 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 | $602.43 | RVU26D |
| 2026-07-01 | Not available in this setting | $602.43 | RVU26C |
| 2026-04-01 | Not available in this setting | $602.43 | RVU26B |
| 2026-01-01 | Not available in this setting | $602.43 | RVU26A |
| 2025-10-01 | Not available in this setting | $600.09 | RVU25D |
| 2025-07-01 | Not available in this setting | $600.09 | RVU25C |
| 2025-04-01 | Not available in this setting | $600.09 | RVU25B |
| 2025-01-01 | Not available in this setting | $600.09 | RVU25A |
45505 billing questions
How does this differ from 45500?
The approach is the key distinction: 45505 is for repair reached through the anal canal, while 45500 represents a perineal approach. The operative report should support the approach used.
When would an abdominal repair code be more appropriate?
Use the applicable abdominal exploration-and-repair code when the surgeon explores and repairs the rectum through an abdominal approach. Codes 45562 and 45563 are alternatives to consider for that operative circumstance.
Can modifier 50 be reported?
No. CMS identifies bilateral adjustment as inappropriate for this code; do not use modifier 50 for the rectal repair.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period. The global period is tied to this major surgery.
What documentation supports reporting 45505?
Document the rectal defect or injury, the transanal route used to reach it, and the repair performed. Those details distinguish this service from perineal or abdominal repair.
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.
5,5354541F,,Pt offered tx for pseudobulb,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
5,53645499,,Laparoscope proc rectum,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,2,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
5,53745500,,Repair of rectum,A,,7.54,7.52,NA,7.52,,2.01,17.07,17.07,0,090,0.09,0.81,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,53845505,,Repair of rectum,A,,8.15,8.18,NA,8.18,,1.46,17.79,17.79,0,090,0.09,0.81,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,5394550F,,Noninvas resp support talk,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
5,5404551F,,Nutritional support offered,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
5,54145520,,Treatment of rectal prolapse,A,,0.54,4.44,,0.52,,0.07,5.05,1.13,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,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