$532.67–$586.42
45384 covers lesion removal with hot biopsy forceps or bipolar cautery. Use 45385 when a snare removes the lesion, whether the snare is hot or cold.
On this page
CMS RVU26D · Effective 2026-10-01
45385 Snare polypectomy Medicare reimbursement rates in Florida
Report 45385 when one or more polyps or other lesions are removed during flexible colonoscopy with a wire snare, with or without cautery. Compare 45385 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 45385 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
$493.88–$539.75
3 of 3 localities have a supported rate.
Facility setting
$229.49–$251.85
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 45385 pays more and less in Florida
3 payment localities
$493.88 to $539.75
GI endoscopy
About 45385: Colonoscopy with snare removal of polyps or lesions
Report 45385 when one or more polyps or other lesions are removed during flexible colonoscopy with a wire snare, with or without cautery.
During this procedure, a gastroenterologist or colorectal surgeon advances a flexible colonoscope through the colon, typically to the cecum. Polyps or other lesions are captured with a wire snare and removed either cold or with electrocautery. Removed tissue is typically submitted for pathology. Most cases occur in hospital outpatient departments and ambulatory surgery centers, with a smaller share in office endoscopy suites. Common situations include screening colonoscopies that uncover adenomas, surveillance after prior polyps, and evaluation of a positive stool test.
Report one unit per session regardless of how many lesions are snared. The procedure report should identify the removal technique, lesion sites and sizes, exam extent, and bowel prep quality. The 0-day global period includes same-day preoperative and postoperative care. When related endoscopies are performed together, endoscopy family pricing uses diagnostic colonoscopy 45378 as the base to calculate payment for additional procedures. Medicare does not pay an assistant at surgery for 45385; co-surgeons and team surgery are not permitted. Because the colon is not a bilateral structure, modifier 50 is inappropriate.
CMS billing rules for 45385
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Multiple procedures
- Endoscopy family pricing applies when related endoscopies are performed together.
- 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 RVU4.46 · 30%
- Practice expense (office) RVU10.00 · 67%
- Malpractice RVU0.51 · 3%
1.6M
Medicare services in 2024 · #99 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.
45385 compared with similar codes
Office rates for Florida, from the same CMS release.
$471.63–$515.77
45380 covers biopsy, including cold forceps removal of a small polyp. Use 45385 when a snare removes the lesion; do not report both for the same lesion.
No office rate
45390 applies when documentation supports endoscopic mucosal resection. Injection before snaring, by itself, does not establish that technique; use 45385 for conventional snare removal.
$373.63–$409.62
45378 covers diagnostic colonoscopy without lesion removal. When a lesion is removed by snare, report 45385 instead of separately reporting the diagnostic exam.
Compare 45385 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
$518.12
Facility
$237.96
Miami →
Office / nonfacility
$539.75
Facility
$251.85
Rest Of Florida →
Office / nonfacility
$493.88
Facility
$229.49
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45385 billing questions
How many units are reported when several polyps are removed by snare?
One unit. The code covers all lesions removed by snare during the session, regardless of their number or location.
Can 45380 be reported with 45385 in the same session?
Yes, when a separate lesion is biopsied. Use modifier 59 on 45380 when needed to identify the distinct lesion; a biopsy of the lesion subsequently removed by snare is included in 45385.
What happens when a Medicare screening colonoscopy turns into a polypectomy?
Report 45385 instead of the screening G code and append modifier PT to identify the procedure as a screening that became therapeutic. The Medicare screening-related deductible waiver then applies.
Should 45385 or 45390 be reported when a polyp is lifted with an injection before snaring?
An injection lift alone does not establish endoscopic mucosal resection. Report 45390 when the procedure report supports that resection technique; do not add 45385 or 45381 for the same lesion's resection and lift.
Can a tattoo injection be added to 45385?
A documented submucosal ink injection to mark the polypectomy site may be reported with 45381. When both services are payable, endoscopy family pricing applies.
How do snare and hot biopsy forceps removal differ for coding?
Snare removal, hot or cold, is reported with 45385. Removal with hot biopsy forceps or bipolar cautery is reported with 45384; when different lesions are treated by both methods, a distinct-procedure modifier may be needed.
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.
5,51745381,,Colonoscopy submucous njx,A,,3.47,10.79,,1.43,,0.42,14.68,5.32,0,000,0.00,0.00,0.00,3,0,1,0,0,9,45378,33.4009,09,0,99,0.00,0.00,0.00
5,51845382,,Colonoscopy w/control bleed,A,,4.54,16.82,,1.75,,0.50,21.86,6.79,0,000,0.00,0.00,0.00,3,0,1,0,0,9,45378,33.4009,09,0,99,0.00,0.00,0.00
5,51945384,,Colonoscopy w/lesion removal,A,,3.97,11.57,,1.51,,0.61,16.15,6.09,0,000,0.00,0.00,0.00,3,0,1,0,0,9,45378,33.4009,09,0,99,0.00,0.00,0.00
5,52045385,,Colonoscopy w/lesion removal,A,,4.46,10.00,,1.72,,0.51,14.97,6.69,0,000,0.00,0.00,0.00,3,0,1,0,0,9,45378,33.4009,09,0,99,0.00,0.00,0.00
5,52145386,,Colonoscopy w/balloon dilat,A,,3.68,15.95,,1.49,,0.44,20.07,5.61,0,000,0.00,0.00,0.00,3,0,1,0,0,9,45378,33.4009,09,0,99,0.00,0.00,0.00
5,52245388,,Colonoscopy w/ablation,A,,4.76,74.26,,1.78,,0.60,79.62,7.14,0,000,0.00,0.00,0.00,3,0,1,0,0,9,45378,33.4009,09,0,99,0.00,0.00,0.00
5,52345389,,Colonoscopy w/stent plcmt,A,,5.11,1.89,NA,1.89,,0.58,7.58,7.58,0,000,0.00,0.00,0.00,3,0,1,0,0,9,45378,33.4009,09,0,99,0.00,0.00,0.00