No office rate
Choose 45915 for extraction of obstructing material. Choose 45910 when the intervention dilates a rectal narrowing.
On this page
CMS RVU26D · Effective 2026-10-01
45915 Rectal obstruction removal Medicare reimbursement rates in Indiana
Report this service when a clinician removes obstructing stool or a foreign body from the rectum under anesthesia. Compare 45915 office and facility rates across CMS payment localities in Indiana.
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 45915 in Indiana?
Indiana 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
$372.48
1 of 1 localities have a supported rate.
Payment area: Indiana
One mapped payment locality.
Facility setting
$213.33
1 of 1 localities have a supported rate.
Payment area: Indiana
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.
Anorectal procedure
About 45915: Rectal obstruction removal under anesthesia
Report this service when a clinician removes obstructing stool or a foreign body from the rectum under anesthesia.
This service covers removal of obstructing material from the rectum when the work is performed under anesthesia. Typical cases include a substantial fecal impaction or a rectal foreign body that requires procedural extraction rather than routine office or bedside care. Colorectal and general surgeons commonly perform it in a hospital or ambulatory surgical setting; the clinical record should identify the obstruction and describe the removal performed.
Select the code for the extraction itself, not for treatment of a narrowing, sphincter problem, or prolapse that may cause obstructive symptoms. Document the material removed, the anatomic site, the technique, and the use of anesthesia. Medicare assigns a 10-day global period, so related postoperative visits during that period are included. 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. Modifier 50 is inappropriate for this code; assistant-at-surgery payment is restricted, and co-surgeons and team surgery are not permitted.
CMS billing rules for 45915
- Global period
- Minor procedure with a 10-day global period: related postoperative visits for 10 days 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 RVU3.11 · 26%
- Practice expense (office) RVU8.35 · 69%
- Malpractice RVU0.62 · 5%
1.9K
Medicare services in 2024 · #2492 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.
45915 compared with similar codes
Office rates for Indiana, from the same CMS release.
No office rate
45905 is for dilation of the anal sphincter; 45915 removes obstructing material from the rectum under anesthesia.
No office rate
45900 addresses reduction of rectal prolapse. It is not the extraction code for fecal impaction or a rectal foreign body.
Compare 45915 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
Indiana →
Office / nonfacility
$372.48
Facility
$213.33
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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 45915 in Indiana.
PPRRVU2026_Oct_nonQPP.csv
5,567
- Code
- 45915
- Physician work
- 3.11
- Practice expense
- 8.35
- Malpractice
- 0.62
GPCI2026.csv
52
- Locality
- Indiana
- Physician work
- 1.000
- Practice expense
- 0.927
- Malpractice
- 0.486
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.11 | × 1.000 | 3.1100 |
| Practice expense | 8.35 | × 0.927 | 7.7405 |
| Malpractice | 0.62 | × 0.486 | 0.3013 |
| Total RVUs | 11.1518 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Indiana$372.48
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.11 | 1 |
| Practice expense | 8.35 | 0.927 |
| Malpractice | 0.62 | 0.486 |
(3.11 × 1 + 8.35 × 0.927 + 0.62 × 0.486) × $33.4009 = $372.48
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.11 | 1 |
| Practice expense | 3.21 | 0.927 |
| Malpractice | 0.62 | 0.486 |
(3.11 × 1 + 3.21 × 0.927 + 0.62 × 0.486) × $33.4009 = $213.33
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.
45915 billing questions
When should this code be chosen instead of rectal dilation?
Use this code when the service removes obstructing material from the rectum. Code 45910 describes dilation of a rectal narrowing, rather than extraction.
Does the code include anesthesia?
The service is defined as being performed under anesthesia. Document the anesthesia and the extraction performed; this code does not represent a separately reported anesthesia service.
Can modifier 50 be used?
No. The code’s descriptor and anatomy make bilateral reporting with modifier 50 inappropriate.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction. Related postoperative visits during the 10-day global period are included.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.
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.
5,56445900,,Reduction of rectal prolapse,A,,2.92,2.62,NA,2.62,,0.79,6.33,6.33,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,56545905,,Dilation of anal sphincter,A,,2.29,2.35,NA,2.35,,0.42,5.06,5.06,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,56645910,,Dilation of rectal narrowing,A,,2.78,2.37,NA,2.37,,0.48,5.63,5.63,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,56745915,,Remove rectal obstruction,A,,3.11,8.35,,3.21,,0.62,12.08,6.94,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,56845990,,Surg dx exam anorectal,A,,1.76,0.87,NA,0.87,,0.35,2.98,2.98,0,000,0.00,0.00,0.00,2,0,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
5,56945999,,Unlisted procedure rectum,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
5,57046020,,Placement of seton,A,,1.81,1.15,NA,1.15,,0.36,3.32,3.32,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915