$195.48
Choose 45330 for diagnostic flexible sigmoidoscopy without band placement. Report 45350 when the scope session includes band ligation.
On this page
CMS RVU26D · Effective 2026-10-01
45350 Sigmoidoscopy Medicare reimbursement rates in Kansas
Reports flexible sigmoidoscopy used to place bands on target tissue, commonly internal hemorrhoids, during endoscopic treatment of the rectum or distal colon. Compare 45350 office and facility rates across CMS payment localities in Kansas.
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 45350 in Kansas?
Kansas 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
$674.58
1 of 1 localities have a supported rate.
Payment area: Kansas
One mapped payment locality.
Facility setting
$85.49
1 of 1 localities have a supported rate.
Payment area: Kansas
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.
Endoscopy
About 45350: Flexible sigmoidoscopy with band ligation
Reports flexible sigmoidoscopy used to place bands on target tissue, commonly internal hemorrhoids, during endoscopic treatment of the rectum or distal colon.
A clinician advances a flexible sigmoidoscope to examine the rectum and distal colon, then applies bands to selected tissue. A common use is endoscopic treatment of internal hemorrhoids. Gastroenterologists and colorectal surgeons typically perform the procedure in an office-based endoscopy suite or hospital outpatient department. The scope examination and band placement are reported together as the therapeutic service.
Choose this code when the documented procedure includes endoscopic band ligation, rather than diagnostic inspection alone or treatment by a different method. The report should identify the indication, endoscopic findings, target tissue, and treatment performed. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, endoscopy family pricing applies. Modifier 50 is inappropriate. CMS does not pay an assistant at surgery, and co-surgeon and team-surgery billing are not permitted.
CMS billing rules for 45350
- 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 RVU1.64 · 7%
- Practice expense (office) RVU20.41 · 92%
- Malpractice RVU0.21 · 1%
1.6K
Medicare services in 2024 · #2641 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.
45350 compared with similar codes
Office rates for Kansas, from the same CMS release.
$495.18
45334 represents endoscopic control of bleeding during sigmoidoscopy; 45350 represents treatment by band ligation.
$296.96
Both can describe internal hemorrhoid banding, but 45350 includes flexible sigmoidoscopy and endoscopic band placement; 46221 is the non-endoscopic approach.
Compare 45350 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
Kansas →
Office / nonfacility
$674.58
Facility
$85.49
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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 45350 in Kansas.
PPRRVU2026_Oct_nonQPP.csv
5,512
- Code
- 45350
- Physician work
- 1.64
- Practice expense
- 20.41
- Malpractice
- 0.21
GPCI2026.csv
54
- Locality
- Kansas
- Physician work
- 1.000
- Practice expense
- 0.904
- Malpractice
- 0.504
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.64 | × 1.000 | 1.6400 |
| Practice expense | 20.41 | × 0.904 | 18.4506 |
| Malpractice | 0.21 | × 0.504 | 0.1058 |
| Total RVUs | 20.1965 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Kansas$674.58
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.64 | 1 |
| Practice expense | 20.41 | 0.904 |
| Malpractice | 0.21 | 0.504 |
(1.64 × 1 + 20.41 × 0.904 + 0.21 × 0.504) × $33.4009 = $674.58
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.64 | 1 |
| Practice expense | 0.9 | 0.904 |
| Malpractice | 0.21 | 0.504 |
(1.64 × 1 + 0.9 × 0.904 + 0.21 × 0.504) × $33.4009 = $85.49
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.
45350 billing questions
When should I choose this over diagnostic sigmoidoscopy?
Use this code when the sigmoidoscopy includes band ligation. Diagnostic sigmoidoscopy describes examination without that therapeutic treatment.
Can diagnostic sigmoidoscopy be reported separately for the same session?
The examination needed to perform the band ligation is part of the therapeutic service. When related endoscopies are performed together, CMS endoscopy family pricing applies.
Is the code reported once for each band?
The code describes the band-ligation procedure, including placement of one or more bands. Document the treatment performed and target tissue.
Should modifier 50 be appended for treatment on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code.
Can an assistant or co-surgeon be billed?
CMS does not pay an assistant at surgery for this code. Co-surgeon and team-surgery billing 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.
5,50945346,,Sigmoidoscopy w/ablation,A,,2.74,71.54,,1.21,,0.34,74.62,4.29,0,000,0.00,0.00,0.00,3,0,1,0,0,9,45330,33.4009,09,0,99,0.00,0.00,0.00
5,51045347,,Sigmoidoscopy w/plcmt stent,A,,2.65,1.14,NA,1.14,,0.30,4.09,4.09,0,000,0.00,0.00,0.00,3,0,1,0,0,9,45330,33.4009,09,0,99,0.00,0.00,0.00
5,51145349,,Sigmoidoscopy w/resection,A,,3.43,1.43,NA,1.43,,0.39,5.25,5.25,0,000,0.00,0.00,0.00,3,0,1,0,0,9,45330,33.4009,09,0,99,0.00,0.00,0.00
5,51245350,,Sgmdsc w/band ligation,A,,1.64,20.41,,0.90,,0.21,22.26,2.75,0,000,0.00,0.00,0.00,3,0,1,0,0,9,45330,33.4009,09,0,99,0.00,0.00,0.00
5,51345378,,Diagnostic colonoscopy,A,,3.18,7.73,,1.34,,0.41,11.32,4.93,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,51445378,53,Diagnostic colonoscopy,A,,1.59,3.87,,0.67,,0.21,5.67,2.47,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,51545379,,Colonoscopy w/fb removal,A,,4.17,9.69,,1.63,,0.49,14.35,6.29,0,000,0.00,0.00,0.00,3,0,1,0,0,9,45378,33.4009,09,0,99,0.00,0.00,0.00
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
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958