No office rate
Choose 45113 when the documented partial proctectomy includes a colostomy. Choose 45111 for partial proctectomy with anastomosis without that colostomy distinction.
On this page
CMS RVU26D · Effective 2026-10-01
45113 in Wyoming**
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1654.96
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 45113: Partial proctectomy with colostomy
Reports surgical removal of part of the rectum when the operation includes bowel reconstruction and a colostomy, such as for selected rectal disease.
A colorectal surgeon removes a portion of the rectum and creates a colostomy as part of the operative plan. The procedure is generally performed in a hospital operating room for conditions such as rectal cancer or other disease requiring resection. The operative report should make clear how much rectum was removed, the reconstruction performed, and the colostomy created.
Select this code when the documented operation matches partial rectal resection with the specified colostomy approach, rather than a more extensive complete proctectomy or a different reconstruction. Report the service for the surgeon’s operative work; documentation should support the indication, resection extent, and surgical details. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during the following 90 days. 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. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 45113
- 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 RVU32.39 · 64%
- Practice expense (office) RVU13.71 · 27%
- Malpractice RVU4.66 · 9%
28
Medicare services in 2024 · #5709 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.
45113 compared with similar codes
Office rates for Wyoming**, from the same CMS release.
No office rate
45114 identifies a pull-through reconstruction with rectal mucosectomy. This code is for the partial proctectomy with colostomy.
No office rate
45112 describes complete rather than partial rectal removal. The amount of rectum removed in the operative report distinguishes the services.
The same code, a different location
How does Wyoming** compare?
45113 across payment areas
Same release and payment basis · bars start at $0
Wyoming** · This locality
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.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Wyoming 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
Alabama
Alabama · 45113
Office
Unavailable
Facility
$1570.64
No comparable office rate is available.
Arkansas
Arkansas · 45113
Office
Unavailable
Facility
$1555.37
No comparable office rate is available.
Arizona
Arizona · 45113
Office
Unavailable
Facility
$1658.82
No comparable office rate is available.
Bakersfield
California · 45113
Office
Unavailable
Facility
$1699.09
No comparable office rate is available.
Chico
California · 45113
Office
Unavailable
Facility
$1685.56
No comparable office rate is available.
El Centro
California · 45113
Office
Unavailable
Facility
$1686.34
No comparable office rate is available.
Fresno
California · 45113
Office
Unavailable
Facility
$1685.56
No comparable office rate is available.
Hanford-Corcoran
California · 45113
Office
Unavailable
Facility
$1685.56
No comparable office rate is available.
Madera
California · 45113
Office
Unavailable
Facility
$1685.56
No comparable office rate is available.
Merced
California · 45113
Office
Unavailable
Facility
$1685.56
No comparable office rate is available.
Modesto
California · 45113
Office
Unavailable
Facility
$1685.56
No comparable office rate is available.
Napa
California · 45113
Office
Unavailable
Facility
$1832.63
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 45113
Office
Unavailable
Facility
$1750.38
No comparable office rate is available.
Redding
California · 45113
Office
Unavailable
Facility
$1685.56
No comparable office rate is available.
Rest Of California
California · 45113
Office
Unavailable
Facility
$1685.56
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 45113
Office
Unavailable
Facility
$1735.98
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 45113
Office
Unavailable
Facility
$1736.80
No comparable office rate is available.
Salinas
California · 45113
Office
Unavailable
Facility
$1729.56
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 45113
Office
Unavailable
Facility
$1746.35
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 45113
Office
Unavailable
Facility
$1901.75
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 45113
Office
Unavailable
Facility
$1896.46
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 45113
Office
Unavailable
Facility
$1944.62
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 45113
Office
Unavailable
Facility
$1922.98
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 45113
Office
Unavailable
Facility
$1705.25
No comparable office rate is available.
Santa Cruz-Watsonville
California · 45113
Office
Unavailable
Facility
$1744.38
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 45113
Office
Unavailable
Facility
$1729.52
No comparable office rate is available.
Santa Rosa-Petaluma
California · 45113
Office
Unavailable
Facility
$1760.07
No comparable office rate is available.
Stockton
California · 45113
Office
Unavailable
Facility
$1685.56
No comparable office rate is available.
Vallejo
California · 45113
Office
Unavailable
Facility
$1825.00
No comparable office rate is available.
Visalia
California · 45113
Office
Unavailable
Facility
$1685.56
No comparable office rate is available.
Yuba City
California · 45113
Office
Unavailable
Facility
$1685.56
No comparable office rate is available.
Colorado
Colorado · 45113
Office
Unavailable
Facility
$1703.63
No comparable office rate is available.
Connecticut
Connecticut · 45113
Office
Unavailable
Facility
$1785.01
No comparable office rate is available.
Delaware
Delaware · 45113
Office
Unavailable
Facility
$1679.62
No comparable office rate is available.
Fort Lauderdale
Florida · 45113
Office
Unavailable
Facility
$1827.15
No comparable office rate is available.
Rest Of Florida
Florida · 45113
Office
Unavailable
Facility
$1753.57
No comparable office rate is available.
Atlanta
Georgia · 45113
Office
Unavailable
Facility
$1737.29
No comparable office rate is available.
Rest Of Georgia
Georgia · 45113
Office
Unavailable
Facility
$1675.86
No comparable office rate is available.
Hawaii, Guam
Hawaii · 45113
Office
Unavailable
Facility
$1692.64
No comparable office rate is available.
Iowa
Iowa · 45113
Office
Unavailable
Facility
$1562.65
No comparable office rate is available.
Idaho
Idaho · 45113
Office
Unavailable
Facility
$1576.77
No comparable office rate is available.
East St. Louis
Illinois · 45113
Office
Unavailable
Facility
$1816.62
No comparable office rate is available.
Rest Of Illinois
Illinois · 45113
Office
Unavailable
Facility
$1743.22
No comparable office rate is available.
Suburban Chicago
Illinois · 45113
Office
Unavailable
Facility
$1835.53
No comparable office rate is available.
Indiana
Indiana · 45113
Office
Unavailable
Facility
$1582.00
No comparable office rate is available.
Kansas
Kansas · 45113
Office
Unavailable
Facility
$1574.27
No comparable office rate is available.
Kentucky
Kentucky · 45113
Office
Unavailable
Facility
$1631.37
No comparable office rate is available.
New Orleans
Louisiana · 45113
Office
Unavailable
Facility
$1689.58
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 45113
Office
Unavailable
Facility
$1636.23
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 45113
Office
Unavailable
Facility
$1811.50
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 45113
Office
Unavailable
Facility
$1705.41
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 45113
Office
Unavailable
Facility
$1783.06
No comparable office rate is available.
Rest Of Maryland
Maryland · 45113
Office
Unavailable
Facility
$1698.98
No comparable office rate is available.
Rest Of Maine
Maine · 45113
Office
Unavailable
Facility
$1599.96
No comparable office rate is available.
Southern Maine
Maine · 45113
Office
Unavailable
Facility
$1633.87
No comparable office rate is available.
Detroit
Michigan · 45113
Office
Unavailable
Facility
$1786.18
No comparable office rate is available.
Rest Of Michigan
Michigan · 45113
Office
Unavailable
Facility
$1675.67
No comparable office rate is available.
Minnesota
Minnesota · 45113
Office
Unavailable
Facility
$1599.13
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 45113
Office
Unavailable
Facility
$1663.92
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 45113
Office
Unavailable
Facility
$1673.76
No comparable office rate is available.
Rest Of Missouri
Missouri · 45113
Office
Unavailable
Facility
$1628.19
No comparable office rate is available.
Mississippi
Mississippi · 45113
Office
Unavailable
Facility
$1591.15
No comparable office rate is available.
Montana**
Montana · 45113
Office
Unavailable
Facility
$1695.12
No comparable office rate is available.
North Carolina
North Carolina · 45113
Office
Unavailable
Facility
$1608.56
No comparable office rate is available.
North Dakota**
North Dakota · 45113
Office
Unavailable
Facility
$1602.97
No comparable office rate is available.
Nebraska
Nebraska · 45113
Office
Unavailable
Facility
$1563.36
No comparable office rate is available.
New Hampshire
New Hampshire · 45113
Office
Unavailable
Facility
$1694.75
No comparable office rate is available.
Northern Nj
New Jersey · 45113
Office
Unavailable
Facility
$1847.44
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 45113
Office
Unavailable
Facility
$1795.93
No comparable office rate is available.
New Mexico
New Mexico · 45113
Office
Unavailable
Facility
$1688.71
No comparable office rate is available.
Nevada**
Nevada · 45113
Office
Unavailable
Facility
$1669.89
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 45113
Office
Unavailable
Facility
$1984.61
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 45113
Office
Unavailable
Facility
$1820.30
No comparable office rate is available.
Queens
New York · 45113
Office
Unavailable
Facility
$1916.81
No comparable office rate is available.
Rest Of New York
New York · 45113
Office
Unavailable
Facility
$1626.31
No comparable office rate is available.
Ohio
Ohio · 45113
Office
Unavailable
Facility
$1656.84
No comparable office rate is available.
Oklahoma
Oklahoma · 45113
Office
Unavailable
Facility
$1611.72
No comparable office rate is available.
Portland
Oregon · 45113
Office
Unavailable
Facility
$1723.72
No comparable office rate is available.
Rest Of Oregon
Oregon · 45113
Office
Unavailable
Facility
$1647.37
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 45113
Office
Unavailable
Facility
$1763.72
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 45113
Office
Unavailable
Facility
$1649.32
No comparable office rate is available.
Puerto Rico
Puerto Rico · 45113
Office
Unavailable
Facility
$1698.13
No comparable office rate is available.
Rhode Island
Rhode Island · 45113
Office
Unavailable
Facility
$1714.29
No comparable office rate is available.
South Carolina
South Carolina · 45113
Office
Unavailable
Facility
$1637.28
No comparable office rate is available.
South Dakota**
South Dakota · 45113
Office
Unavailable
Facility
$1592.08
No comparable office rate is available.
Tennessee
Tennessee · 45113
Office
Unavailable
Facility
$1581.69
No comparable office rate is available.
Austin
Texas · 45113
Office
Unavailable
Facility
$1706.41
No comparable office rate is available.
Beaumont
Texas · 45113
Office
Unavailable
Facility
$1643.17
No comparable office rate is available.
Brazoria
Texas · 45113
Office
Unavailable
Facility
$1665.72
No comparable office rate is available.
Dallas
Texas · 45113
Office
Unavailable
Facility
$1681.23
No comparable office rate is available.
Fort Worth
Texas · 45113
Office
Unavailable
Facility
$1678.68
No comparable office rate is available.
Galveston
Texas · 45113
Office
Unavailable
Facility
$1674.11
No comparable office rate is available.
Houston
Texas · 45113
Office
Unavailable
Facility
$1759.40
No comparable office rate is available.
Rest Of Texas
Texas · 45113
Office
Unavailable
Facility
$1656.98
No comparable office rate is available.
Utah
Utah · 45113
Office
Unavailable
Facility
$1652.08
No comparable office rate is available.
Virginia
Virginia · 45113
Office
Unavailable
Facility
$1641.88
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 45113
Office
Unavailable
Facility
$1698.13
No comparable office rate is available.
Vermont
Vermont · 45113
Office
Unavailable
Facility
$1613.96
No comparable office rate is available.
Rest Of Washington
Washington · 45113
Office
Unavailable
Facility
$1696.56
No comparable office rate is available.
Seattle (King Cnty)
Washington · 45113
Office
Unavailable
Facility
$1824.99
No comparable office rate is available.
Wisconsin
Wisconsin · 45113
Office
Unavailable
Facility
$1568.49
No comparable office rate is available.
West Virginia
West Virginia · 45113
Office
Unavailable
Facility
$1702.53
No comparable office rate is available.
See how rates vary across the country
45113 · 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?
Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, 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 45113 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1820.46
$1654.96 × 110% = $1820.46
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 45113 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
5,469
- Code
- 45113
- Physician work
- 32.39
- Practice expense
- 13.71
- Malpractice
- 4.66
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 32.39 | × 1.000 | 32.3900 |
| Practice expense | 13.71 | × 1.000 | 13.7100 |
| Malpractice | 4.66 | × 0.740 | 3.4484 |
| Total RVUs | 49.5484 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$1654.96
Open 45113 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 32.39 | 1 |
| Practice expense | 13.71 | 1 |
| Malpractice | 4.66 | 0.74 |
(32.39 × 1 + 13.71 × 1 + 4.66 × 0.74) × $33.4009 = $1654.96
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
45113 · 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 | $1654.96 | RVU26D |
| 2026-07-01 | Not available in this setting | $1654.96 | RVU26C |
| 2026-04-01 | Not available in this setting | $1654.96 | RVU26B |
| 2026-01-01 | Not available in this setting | $1654.96 | RVU26A |
| 2025-10-01 | Not available in this setting | $1757.41 | RVU25D |
| 2025-07-01 | Not available in this setting | $1757.41 | RVU25C |
| 2025-04-01 | Not available in this setting | $1757.41 | RVU25B |
| 2025-01-01 | Not available in this setting | $1757.41 | RVU25A |
45113 billing questions
How does this differ from 45111?
45113 is the partial proctectomy code when the operation includes a colostomy. Use 45111 when the documented partial resection is performed with anastomosis without the colostomy distinction.
Does the global period include routine postoperative care?
Yes. The 90-day global period includes the day-before preoperative visit and related postoperative care for 90 days.
Can an assistant surgeon be reported?
CMS allows payment for an assistant at surgery for this procedure. Co-surgeon payment requires supporting documentation.
Can modifier 50 be used for a bilateral procedure?
No. The anatomy and service are not bilateral for Medicare payment purposes, so a bilateral adjustment is inappropriate.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.
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.
5,46645110,,Removal of rectum,A,,29.99,14.55,NA,14.55,,5.53,50.07,50.07,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,46745111,,Partial removal of rectum,A,,17.56,9.07,NA,9.07,,3.63,30.26,30.26,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,46845112,,Removal of rectum,A,,32.35,12.11,NA,12.11,,4.66,49.12,49.12,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,46945113,,Partial proctectomy,A,,32.39,13.71,NA,13.71,,4.66,50.76,50.76,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,47045114,,Partial removal of rectum,A,,30.02,12.50,NA,12.50,,8.03,50.55,50.55,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,47145116,,Partial removal of rectum,A,,27.03,11.20,NA,11.20,,3.89,42.12,42.12,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,47245119,,Remove rectum w/reservoir,A,,32.64,13.77,NA,13.77,,4.71,51.12,51.12,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,