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CMS RVU26D · Effective 2026-10-01

45330 in Wyoming**

Office / nonfacility

$214.06

Base rate per service

Facility setting

$52.73

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.

Endoscopy

About 45330: Diagnostic flexible sigmoidoscopy

A flexible scope examines the rectum and sigmoid colon to evaluate lower gastrointestinal symptoms when no biopsy or therapeutic procedure is performed.

A physician, commonly a gastroenterologist or colorectal surgeon, advances a flexible endoscope through the anus to inspect the rectum and sigmoid colon. The service is used to evaluate concerns such as rectal bleeding, altered bowel habits, or suspected distal-colon disease. Specimens collected by brushing or washing are included when performed; the code represents a diagnostic examination, not a tissue biopsy or lesion treatment.

Report 45330 when the examination is diagnostic and no separately coded intervention is performed. The report should support the indication, the portion of bowel examined, and the findings; document any brushing or washing when performed. This minor procedure has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in one session, the highest-valued is paid in full and the others at 50%. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.

CMS billing rules for 45330

Global period
Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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 RVU0.82 · 13%
  • Practice expense (office) RVU5.50 · 85%
  • Malpractice RVU0.12 · 2%

45.9K

Medicare services in 2024 · #812 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.

45330 compared with similar codes

Office rates for Wyoming**, from the same CMS release.

45331

Sigmoidoscopy

With biopsy

$321.77

45330 is diagnostic, with brushing or washing included when performed. Use 45331 when the flexible sigmoidoscopy includes a tissue biopsy.

45333

Flexible sigmoidoscopy

Hot biopsy forceps removal

$366.17

45330 describes diagnostic inspection without lesion removal. Use 45333 when a polyp is removed during flexible sigmoidoscopy.

45378

Colonoscopy

Diagnostic, no tissue removal

$374.54

45330 examines the rectum and sigmoid colon with a flexible scope; 45378 is a diagnostic colonoscopy with a broader colonic examination.

The same code, a different location

How does Wyoming** compare?

45330 across payment areas

Same release and payment basis · bars start at $0

  1. Wyoming** · This locality

    $214.06

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

    $248.50

    $34.44 higher than Wyoming**

  3. Dc + Md/Va Suburbs

    $249.73

    $35.67 higher than Wyoming**

  4. Miami

    $228.76

    $14.70 higher than Wyoming**

  5. Chicago

    $221.40

    $7.34 higher than Wyoming**

  6. Manhattan

    $248.96

    $34.90 higher than Wyoming**

  7. Alaska*

    $238.94

    $24.88 higher than Wyoming**

Other payment areas listed in Wyoming 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, 45330 ranges from $187.26 in Arkansas to $297.45 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

  • Alabama

    Alabama · 45330

    Office

    $190.40

    Facility

    $49.24

    $23.66 lower than Wyoming** for the office setting.

  • Arkansas

    Arkansas · 45330

    Office

    $187.26

    Facility

    $48.68

    $26.80 lower than Wyoming** for the office setting.

  • Arizona

    Arizona · 45330

    Office

    $208.83

    Facility

    $52.50

    $5.23 lower than Wyoming** for the office setting.

  • Bakersfield

    California · 45330

    Office

    $231.69

    Facility

    $54.88

    $17.63 higher than Wyoming** for the office setting.

  • Chico

    California · 45330

    Office

    $231.34

    Facility

    $54.53

    $17.28 higher than Wyoming** for the office setting.

  • El Centro

    California · 45330

    Office

    $231.36

    Facility

    $54.55

    $17.30 higher than Wyoming** for the office setting.

  • Fresno

    California · 45330

    Office

    $231.34

    Facility

    $54.53

    $17.28 higher than Wyoming** for the office setting.

  • Hanford-Corcoran

    California · 45330

    Office

    $231.34

    Facility

    $54.53

    $17.28 higher than Wyoming** for the office setting.

  • Madera

    California · 45330

    Office

    $231.34

    Facility

    $54.53

    $17.28 higher than Wyoming** for the office setting.

  • Merced

    California · 45330

    Office

    $231.34

    Facility

    $54.53

    $17.28 higher than Wyoming** for the office setting.

  • Modesto

    California · 45330

    Office

    $231.34

    Facility

    $54.53

    $17.28 higher than Wyoming** for the office setting.

  • Napa

    California · 45330

    Office

    $273.27

    Facility

    $60.65

    $59.21 higher than Wyoming** for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 45330

    Office

    $247.79

    Facility

    $57.10

    $33.73 higher than Wyoming** for the office setting.

  • Redding

    California · 45330

    Office

    $231.34

    Facility

    $54.53

    $17.28 higher than Wyoming** for the office setting.

  • Rest Of California

    California · 45330

    Office

    $231.34

    Facility

    $54.53

    $17.28 higher than Wyoming** for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 45330

    Office

    $232.64

    Facility

    $55.83

    $18.58 higher than Wyoming** for the office setting.

  • Sacramento-Roseville-Folsom

    California · 45330

    Office

    $244.17

    Facility

    $56.55

    $30.11 higher than Wyoming** for the office setting.

  • Salinas

    California · 45330

    Office

    $243.30

    Facility

    $56.32

    $29.24 higher than Wyoming** for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 45330

    Office

    $250.09

    Facility

    $57.15

    $36.03 higher than Wyoming** for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 45330

    Office

    $290.85

    Facility

    $63.38

    $76.79 higher than Wyoming** for the office setting.

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

    California · 45330

    Office

    $290.72

    Facility

    $63.25

    $76.66 higher than Wyoming** for the office setting.

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

    California · 45330

    Office

    $297.45

    Facility

    $64.82

    $83.39 higher than Wyoming** for the office setting.

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

    California · 45330

    Office

    $296.90

    Facility

    $64.26

    $82.84 higher than Wyoming** for the office setting.

  • San Luis Obispo-Paso Robles

    California · 45330

    Office

    $239.24

    Facility

    $55.49

    $25.18 higher than Wyoming** for the office setting.

  • Santa Cruz-Watsonville

    California · 45330

    Office

    $253.31

    Facility

    $57.30

    $39.25 higher than Wyoming** for the office setting.

  • Santa Maria-Santa Barbara

    California · 45330

    Office

    $244.50

    Facility

    $56.40

    $30.44 higher than Wyoming** for the office setting.

  • Santa Rosa-Petaluma

    California · 45330

    Office

    $255.95

    Facility

    $57.84

    $41.89 higher than Wyoming** for the office setting.

  • Stockton

    California · 45330

    Office

    $231.34

    Facility

    $54.53

    $17.28 higher than Wyoming** for the office setting.

  • Vallejo

    California · 45330

    Office

    $273.08

    Facility

    $60.45

    $59.02 higher than Wyoming** for the office setting.

  • Visalia

    California · 45330

    Office

    $231.34

    Facility

    $54.53

    $17.28 higher than Wyoming** for the office setting.

  • Yuba City

    California · 45330

    Office

    $231.34

    Facility

    $54.53

    $17.28 higher than Wyoming** for the office setting.

  • Colorado

    Colorado · 45330

    Office

    $226.31

    Facility

    $54.66

    $12.25 higher than Wyoming** for the office setting.

  • Connecticut

    Connecticut · 45330

    Office

    $230.64

    Facility

    $56.89

    $16.58 higher than Wyoming** for the office setting.

  • Delaware

    Delaware · 45330

    Office

    $212.63

    Facility

    $53.24

    $1.43 lower than Wyoming** for the office setting.

  • Fort Lauderdale

    Florida · 45330

    Office

    $220.73

    Facility

    $57.30

    $6.67 higher than Wyoming** for the office setting.

  • Rest Of Florida

    Florida · 45330

    Office

    $209.03

    Facility

    $54.81

    $5.03 lower than Wyoming** for the office setting.

  • Atlanta

    Georgia · 45330

    Office

    $218.93

    Facility

    $55.02

    $4.87 higher than Wyoming** for the office setting.

  • Rest Of Georgia

    Georgia · 45330

    Office

    $196.03

    Facility

    $52.13

    $18.03 lower than Wyoming** for the office setting.

  • Hawaii, Guam

    Hawaii · 45330

    Office

    $238.58

    Facility

    $55.15

    $24.52 higher than Wyoming** for the office setting.

  • Iowa

    Iowa · 45330

    Office

    $197.07

    Facility

    $49.46

    $16.99 lower than Wyoming** for the office setting.

  • Idaho

    Idaho · 45330

    Office

    $198.29

    Facility

    $49.87

    $15.77 lower than Wyoming** for the office setting.

  • East St. Louis

    Illinois · 45330

    Office

    $204.47

    Facility

    $56.05

    $9.59 lower than Wyoming** for the office setting.

  • Rest Of Illinois

    Illinois · 45330

    Office

    $201.38

    Facility

    $54.09

    $12.68 lower than Wyoming** for the office setting.

  • Suburban Chicago

    Illinois · 45330

    Office

    $223.35

    Facility

    $57.67

    $9.29 higher than Wyoming** for the office setting.

  • Indiana

    Indiana · 45330

    Office

    $199.63

    Facility

    $50.08

    $14.43 lower than Wyoming** for the office setting.

  • Kansas

    Kansas · 45330

    Office

    $195.48

    Facility

    $49.64

    $18.58 lower than Wyoming** for the office setting.

  • Kentucky

    Kentucky · 45330

    Office

    $194.37

    Facility

    $50.95

    $19.69 lower than Wyoming** for the office setting.

  • New Orleans

    Louisiana · 45330

    Office

    $204.81

    Facility

    $53.00

    $9.25 lower than Wyoming** for the office setting.

  • Rest Of Louisiana

    Louisiana · 45330

    Office

    $193.81

    Facility

    $51.03

    $20.25 lower than Wyoming** for the office setting.

  • Metropolitan Boston

    Massachusetts · 45330

    Office

    $251.42

    Facility

    $58.80

    $37.36 higher than Wyoming** for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 45330

    Office

    $224.46

    Facility

    $54.59

    $10.40 higher than Wyoming** for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 45330

    Office

    $229.90

    Facility

    $56.80

    $15.84 higher than Wyoming** for the office setting.

  • Rest Of Maryland

    Maryland · 45330

    Office

    $217.25

    Facility

    $53.99

    $3.19 higher than Wyoming** for the office setting.

  • Rest Of Maine

    Maine · 45330

    Office

    $198.89

    Facility

    $50.47

    $15.17 lower than Wyoming** for the office setting.

  • Southern Maine

    Maine · 45330

    Office

    $211.97

    Facility

    $52.10

    $2.09 lower than Wyoming** for the office setting.

  • Detroit

    Michigan · 45330

    Office

    $211.42

    Facility

    $55.74

    $2.64 lower than Wyoming** for the office setting.

  • Rest Of Michigan

    Michigan · 45330

    Office

    $199.64

    Facility

    $52.35

    $14.42 lower than Wyoming** for the office setting.

  • Minnesota

    Minnesota · 45330

    Office

    $217.61

    Facility

    $51.60

    $3.55 higher than Wyoming** for the office setting.

  • Metropolitan Kansas City

    Missouri · 45330

    Office

    $203.80

    Facility

    $52.32

    $10.26 lower than Wyoming** for the office setting.

  • Metropolitan St. Louis

    Missouri · 45330

    Office

    $206.29

    Facility

    $52.71

    $7.77 lower than Wyoming** for the office setting.

  • Rest Of Missouri

    Missouri · 45330

    Office

    $189.65

    Facility

    $50.58

    $24.41 lower than Wyoming** for the office setting.

  • Mississippi

    Mississippi · 45330

    Office

    $188.52

    Facility

    $49.62

    $25.54 lower than Wyoming** for the office setting.

  • Montana**

    Montana · 45330

    Office

    $215.09

    Facility

    $53.77

    $1.03 higher than Wyoming** for the office setting.

  • North Carolina

    North Carolina · 45330

    Office

    $201.35

    Facility

    $50.83

    $12.71 lower than Wyoming** for the office setting.

  • North Dakota**

    North Dakota · 45330

    Office

    $212.72

    Facility

    $51.39

    $1.34 lower than Wyoming** for the office setting.

  • Nebraska

    Nebraska · 45330

    Office

    $198.46

    Facility

    $49.56

    $15.60 lower than Wyoming** for the office setting.

  • New Hampshire

    New Hampshire · 45330

    Office

    $222.13

    Facility

    $54.19

    $8.07 higher than Wyoming** for the office setting.

  • Northern Nj

    New Jersey · 45330

    Office

    $246.49

    Facility

    $59.35

    $32.43 higher than Wyoming** for the office setting.

  • Rest Of New Jersey

    New Jersey · 45330

    Office

    $233.49

    Facility

    $57.32

    $19.43 higher than Wyoming** for the office setting.

  • New Mexico

    New Mexico · 45330

    Office

    $200.66

    Facility

    $52.72

    $13.40 lower than Wyoming** for the office setting.

  • Nevada**

    Nevada · 45330

    Office

    $214.62

    Facility

    $53.13

    $0.56 higher than Wyoming** for the office setting.

  • Nyc Suburbs/Long Island

    New York · 45330

    Office

    $255.01

    Facility

    $63.19

    $40.95 higher than Wyoming** for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 45330

    Office

    $234.63

    Facility

    $57.98

    $20.57 higher than Wyoming** for the office setting.

  • Queens

    New York · 45330

    Office

    $252.06

    Facility

    $61.37

    $38.00 higher than Wyoming** for the office setting.

  • Rest Of New York

    New York · 45330

    Office

    $204.73

    Facility

    $51.47

    $9.33 lower than Wyoming** for the office setting.

  • Ohio

    Ohio · 45330

    Office

    $199.15

    Facility

    $51.86

    $14.91 lower than Wyoming** for the office setting.

  • Oklahoma

    Oklahoma · 45330

    Office

    $194.55

    Facility

    $50.49

    $19.51 lower than Wyoming** for the office setting.

  • Portland

    Oregon · 45330

    Office

    $234.91

    Facility

    $55.67

    $20.85 higher than Wyoming** for the office setting.

  • Rest Of Oregon

    Oregon · 45330

    Office

    $213.18

    Facility

    $52.50

    $0.88 lower than Wyoming** for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 45330

    Office

    $223.90

    Facility

    $55.96

    $9.84 higher than Wyoming** for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 45330

    Office

    $199.82

    Facility

    $51.72

    $14.24 lower than Wyoming** for the office setting.

  • Puerto Rico

    Puerto Rico · 45330

    Office

    $217.06

    Facility

    $53.96

    $3.00 higher than Wyoming** for the office setting.

  • Rhode Island

    Rhode Island · 45330

    Office

    $221.25

    Facility

    $54.60

    $7.19 higher than Wyoming** for the office setting.

  • South Carolina

    South Carolina · 45330

    Office

    $200.54

    Facility

    $51.47

    $13.52 lower than Wyoming** for the office setting.

  • South Dakota**

    South Dakota · 45330

    Office

    $212.44

    Facility

    $51.11

    $1.62 lower than Wyoming** for the office setting.

  • Tennessee

    Tennessee · 45330

    Office

    $196.53

    Facility

    $49.88

    $17.53 lower than Wyoming** for the office setting.

  • Austin

    Texas · 45330

    Office

    $225.35

    Facility

    $54.67

    $11.29 higher than Wyoming** for the office setting.

  • Beaumont

    Texas · 45330

    Office

    $198.28

    Facility

    $51.48

    $15.78 lower than Wyoming** for the office setting.

  • Brazoria

    Texas · 45330

    Office

    $212.79

    Facility

    $52.91

    $1.27 lower than Wyoming** for the office setting.

  • Dallas

    Texas · 45330

    Office

    $214.04

    Facility

    $53.36

    $0.02 lower than Wyoming** for the office setting.

  • Fort Worth

    Texas · 45330

    Office

    $212.26

    Facility

    $53.19

    $1.80 lower than Wyoming** for the office setting.

  • Galveston

    Texas · 45330

    Office

    $213.35

    Facility

    $53.15

    $0.71 lower than Wyoming** for the office setting.

  • Houston

    Texas · 45330

    Office

    $215.54

    Facility

    $55.34

    $1.48 higher than Wyoming** for the office setting.

  • Rest Of Texas

    Texas · 45330

    Office

    $205.34

    Facility

    $52.25

    $8.72 lower than Wyoming** for the office setting.

  • Utah

    Utah · 45330

    Office

    $203.67

    Facility

    $52.02

    $10.39 lower than Wyoming** for the office setting.

  • Virginia

    Virginia · 45330

    Office

    $210.80

    Facility

    $52.22

    $3.26 lower than Wyoming** for the office setting.

  • Virgin Islands

    United States Virgin Islands · 45330

    Office

    $217.06

    Facility

    $53.96

    $3.00 higher than Wyoming** for the office setting.

  • Vermont

    Vermont · 45330

    Office

    $211.28

    Facility

    $51.57

    $2.78 lower than Wyoming** for the office setting.

  • Rest Of Washington

    Washington · 45330

    Office

    $224.24

    Facility

    $54.36

    $10.18 higher than Wyoming** for the office setting.

  • Seattle (King Cnty)

    Washington · 45330

    Office

    $257.44

    Facility

    $59.49

    $43.38 higher than Wyoming** for the office setting.

  • Wisconsin

    Wisconsin · 45330

    Office

    $204.61

    Facility

    $50.06

    $9.45 lower than Wyoming** for the office setting.

  • West Virginia

    West Virginia · 45330

    Office

    $192.76

    Facility

    $52.57

    $21.30 lower than Wyoming** for the office setting.

See how rates vary across the country

45330 · 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.

$187.26

$264.40

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$238.941
AL$190.401
AR$187.261
AZ$208.831
CA$231.34–$297.4529
CO$226.311
CT$230.641
DC$249.731
DE$212.631
FL$209.03–$228.763
GA$196.03–$218.932
GU$238.581
HI$238.581
IA$197.071
ID$198.291
IL$201.38–$223.354
IN$199.631
KS$195.481
KY$194.371
LA$193.81–$204.812
MA$224.46–$251.422
MD$217.25–$249.733
ME$198.89–$211.972
MI$199.64–$211.422
MN$217.611
MO$189.65–$206.293
MS$188.521
MT$215.091
NC$201.351
ND$212.721
NE$198.461
NH$222.131
NJ$233.49–$246.492
NM$200.661
NV$214.621
NY$204.73–$255.015
OH$199.151
OK$194.551
OR$213.18–$234.912
PA$199.82–$223.902
PR$217.061
RI$221.251
SC$200.541
SD$212.441
TN$196.531
TX$198.28–$225.358
UT$203.671
VA$210.80–$249.732
VI$217.061
VT$211.281
WA$224.24–$257.442
WI$204.611
WV$192.761
WY$214.061

Explore 45330 on the national rate map →

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.

Browse all communities in Wyoming →

Why are the office and facility amounts different?

For 45330 in Wyoming**, the physician’s office rate is $214.06 and the facility-setting rate is $52.73: a difference of $161.33.

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 45330 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$235.47

$214.06 × 110% = $235.47

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 45330 in Wyoming**.

PPRRVU2026_Oct_nonQPP.csv

5,498

Code
45330
Physician work
0.82
Practice expense
5.50
Malpractice
0.12

GPCI2026.csv

112

Locality
Wyoming**
Physician work
1.000
Practice expense
1.000
Malpractice
0.740
Office / nonfacility calculation for 45330 in Wyoming**
ComponentRVULocality factorAdjusted
Physician work0.82× 1.0000.8200
Practice expense5.50× 1.0005.5000
Malpractice0.12× 0.7400.0888
Total RVUs6.4088
Conversion factor× 33.4009

Office / nonfacility rate, Wyoming**$214.06

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

Open 45330 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.821
Practice expense5.51
Malpractice0.120.74

(0.82 × 1 + 5.5 × 1 + 0.12 × 0.74) × $33.4009 = $214.06

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.821
Practice expense0.671
Malpractice0.120.74

(0.82 × 1 + 0.67 × 1 + 0.12 × 0.74) × $33.4009 = $52.73

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

45330 · Office / nonfacility

$214.06

Effective 2026-10-01

The base rate is $34.99 higher than on 2025-10-01, moving from $179.07 to $214.06 (19.5%).

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

    $179.07changed to$214.06

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.84 changed to 0.82
    • Practice expense RVU 4.60 changed to 5.50
    • Malpractice RVU 0.13 changed to 0.12
    • Malpractice GPCI 0.739 changed to 0.740

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $179.07

    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$214.06$52.73RVU26D
2026-07-01$214.06$52.73RVU26C
2026-04-01$214.06$52.73RVU26B
2026-01-01$214.06$52.73RVU26A
2025-10-01$179.07$54.21RVU25D
2025-07-01$179.07$54.21RVU25C
2025-04-01$179.07$54.21RVU25B
2025-01-01$179.07$54.21RVU25A

45330 billing questions

When should 45330 be reported instead of 45331?

Use 45330 for a diagnostic examination without tissue biopsy. When the physician obtains a biopsy during flexible sigmoidoscopy, report the biopsy service, 45331, rather than the diagnostic-only code.

Are brushing and washing separately billable?

No. Specimen collection by brushing or washing is included in 45330 when performed. A tissue biopsy or therapeutic maneuver is a different service.

Can 45330 be billed with a polypectomy code for the same examination?

When the same sigmoidoscopy includes polyp removal, report the applicable intervention code rather than separately reporting the diagnostic examination as 45330.

Should modifier 50 be appended for examination of both sides?

No. Bilateral adjustment does not apply to this code, and modifier 50 is inappropriate for the sigmoidoscopy service.

How does the multiple-procedure rule affect payment?

For procedures performed in the same session, Medicare pays the highest-valued procedure in full and pays the other procedures at 50%.

What documentation supports 45330?

Document the diagnostic reason, scope examination and extent, findings, and any brushing or washing. If biopsy or treatment is performed, document that work and report the applicable procedure code.

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 45330PPRRVU2026_Oct_nonQPP.csv, line 5,498 (RVU26D)
Geographic factors for Wyoming**GPCI2026.csv, line 112 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet