No office rate
Choose 45111 for partial rectal resection with anastomosis; choose 45110 for complete removal with a colostomy through abdominal and perineal approaches.
On this page
CMS RVU26D · Effective 2026-10-01
45110 Rectal resection Medicare reimbursement rates in Connecticut
Reports complete removal of the rectum through abdominal and perineal approaches when the operation includes creation of a colostomy. Compare 45110 office and facility rates across CMS payment localities in Connecticut.
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.
What does Medicare pay for 45110 in Connecticut?
Connecticut has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1768.63
1 of 1 localities have a supported rate.
Payment area: Connecticut
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Colorectal surgery
About 45110: Complete abdominoperineal proctectomy with colostomy
Reports complete removal of the rectum through abdominal and perineal approaches when the operation includes creation of a colostomy.
This operation removes the rectum through both abdominal and perineal access and includes creation of a colostomy. Colorectal and general surgeons commonly perform it in a hospital operating room, often for rectal cancer when a restorative reconstruction is not planned. The operative report should establish the full extent of rectal removal, both approaches, and the colostomy.
Select this code when the documented operation matches that complete resection and colostomy combination, rather than a partial resection or a different operative approach. It has a 90-day global period that includes the day-before preoperative visit and related postoperative care during the following 90 days. For procedures performed in the same session, Medicare pays the highest-valued procedure in full and reduces other procedures under the standard multiple-procedure rule. Assistant-at-surgery services may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted. Modifier 50 is not appropriate for this single-organ procedure.
CMS billing rules for 45110
- 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 RVU29.99 · 60%
- Practice expense (office) RVU14.55 · 29%
- Malpractice RVU5.53 · 11%
572
Medicare services in 2024 · #3441 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.
45110 compared with similar codes
Office rates for Connecticut, from the same CMS release.
No office rate
Both describe complete rectal removal, but 45112 uses a perineal approach rather than the combined abdominal and perineal approach with colostomy represented by 45110.
No office rate
Use 45121 when the documented resection includes colon as well as rectum; 45110 describes the complete rectal resection and colostomy service.
Compare 45110 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Connecticut →
Office / nonfacility
Unavailable
Facility
$1768.63
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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 45110 in Connecticut.
PPRRVU2026_Oct_nonQPP.csv
5,466
- Code
- 45110
- Physician work
- 29.99
- Practice expense
- 14.55
- Malpractice
- 5.53
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 29.99 | × 1.020 | 30.5898 |
| Practice expense | 14.55 | × 1.077 | 15.6704 |
| Malpractice | 5.53 | × 1.210 | 6.6913 |
| Total RVUs | 52.9515 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Connecticut$1768.63
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 29.99 | 1.02 |
| Practice expense | 14.55 | 1.077 |
| Malpractice | 5.53 | 1.21 |
(29.99 × 1.02 + 14.55 × 1.077 + 5.53 × 1.21) × $33.4009 = $1768.63
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.
45110 billing questions
How is this code distinguished from 45111?
This code describes complete rectal removal through abdominal and perineal approaches with a colostomy. Code 45111 is for partial removal with an anastomosis.
Is creation of the colostomy included?
Yes. The colostomy is part of the service represented by this code.
What documentation supports code selection?
The operative report should describe complete rectal removal, the abdominal and perineal approaches, and colostomy creation.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
Should modifier 50 be appended?
No. Modifier 50 is inappropriate for this procedure involving a single rectum and operative field.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
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.
5,46345100,,Biopsy of rectum,A,,3.94,4.33,NA,4.33,,0.78,9.05,9.05,0,090,0.09,0.81,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,46445108,,Anorectal myomectomy,A,,4.99,4.84,NA,4.84,,1.33,11.16,11.16,0,090,0.09,0.81,0.10,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,4654510F,,Prev cardrehab qualcardevent,M,,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
5,46645110,,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
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808