$362.82–$404.43
45000 is for a pelvic abscess drained transrectally. 45005 is for an abscess located in the rectal area and treated by a transanal approach.
On this page
CMS RVU26D · Effective 2026-10-01
45000 Pelvic abscess drainage Medicare reimbursement rates in Florida
Reports operative drainage of a pelvic abscess approached through the rectum, when the abscess location and route match this procedure. Compare 45000 office and facility rates across CMS payment localities in Florida.
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 45000 in Florida?
Florida has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$424.34–$477.51
3 of 3 localities have a supported rate.
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.
Where 45000 pays more and less in Florida
Colorectal surgery
About 45000: Transrectal drainage of pelvic abscess
Reports operative drainage of a pelvic abscess approached through the rectum, when the abscess location and route match this procedure.
CPT 45000 represents surgical drainage of an abscess located in the pelvis using a transrectal approach. A colorectal or general surgeon may perform it in an operating room when the pelvic collection is reached through the rectum. The key distinction is the pelvic location of the abscess, rather than a collection confined to the rectal wall or perirectal tissues.
Select the code based on the documented abscess location and operative route. The note should identify the pelvic collection and describe drainage through the rectum. Medicare assigns a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. In a same-session multiple-procedure case, the highest-valued procedure 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 45000
- 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 RVU6.14 · 50%
- Practice expense (office) RVU5.09 · 41%
- Malpractice RVU1.13 · 9%
134
Medicare services in 2024 · #4645 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.
45000 compared with similar codes
Office rates for Florida, from the same CMS release.
No office rate
Choose 45020 for perirectal abscess drainage through a transperineal route. 45000 describes transrectal drainage of a pelvic abscess.
$719.81–$786.71
49407 describes image-guided catheter drainage by a transrectal or transvaginal route. 45000 is the operative drainage code for a pelvic abscess approached transrectally.
Compare 45000 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.
3 of 3 payment localities
Fort Lauderdale →
Office / nonfacility
Unavailable
Facility
$445.54
Miami →
Office / nonfacility
Unavailable
Facility
$477.51
Rest Of Florida →
Office / nonfacility
Unavailable
Facility
$424.34
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45000 billing questions
How is 45000 distinguished from drainage of a rectal abscess?
Use 45000 when the abscess is pelvic and the operative route is transrectal. A collection confined to the rectum or perirectal tissues points to a different drainage code.
What documentation supports reporting 45000?
Document the pelvic abscess and the transrectal route used to drain it. The operative report should make clear that the target was pelvic, not a rectal or perirectal abscess.
Does the 90-day global period include postoperative care?
Yes. The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
Can modifier 50 be reported for bilateral drainage?
No. Modifier 50 is inappropriate for this code; report the service for the pelvic drainage rather than as a bilateral procedure.
How does Medicare handle other procedures performed in the same session?
The highest-valued procedure is paid in full, and other procedures performed in that session are paid at 50%. Medicare does not pay an assistant at surgery for 45000.
Can co-surgeons or a surgical team be reported?
No. Medicare does not permit co-surgeons or team surgery for this service.
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.
5,45644960,,Appendectomy,A,,14.14,6.88,NA,6.88,,3.68,24.70,24.70,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,45744970,,Laparoscopy appendectomy,A,,9.21,5.72,NA,5.72,,2.38,17.31,17.31,0,090,0.09,0.81,0.10,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,45844979,,Unlisted laps px appendix,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
5,45945000,,Drainage of pelvic abscess,A,,6.14,5.09,NA,5.09,,1.13,12.36,12.36,0,090,0.09,0.81,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,46045005,,Drainage of rectal abscess,A,,1.97,8.50,,2.72,,0.51,10.98,5.20,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,4614500F,,Ref to outpt card rehab prog,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
5,46245020,,Drainage of rectal abscess,A,,8.35,6.54,NA,6.54,,1.63,16.52,16.52,0,090,0.09,0.81,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00