No office rate
45505 covers rectal repair by a transsacral or abdominal approach without the sigmoid resection included in 45550.
On this page
CMS RVU26D · Effective 2026-10-01
45550 Rectal repair Medicare reimbursement rates in Kansas
Reports an abdominal rectal repair performed with sigmoid colon resection, commonly during operative treatment of rectal prolapse when both procedures are part of the same operation. Compare 45550 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 45550 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
No supported rate
Facility setting
$1238.91
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.
Colorectal surgery
About 45550: Abdominal rectal repair with sigmoid resection
Reports an abdominal rectal repair performed with sigmoid colon resection, commonly during operative treatment of rectal prolapse when both procedures are part of the same operation.
A colorectal or general surgeon performs this abdominal operation to repair or support the rectum while removing a segment of sigmoid colon. A common setting is surgery for rectal prolapse when the surgeon also resects sigmoid colon, such as when the sigmoid is redundant. The operative report should make clear that both the rectal repair and sigmoid resection were performed; the code is not selected just because a patient has rectal prolapse or undergoes a sigmoid resection alone.
Report the service for the combined work documented in the operative note, including the abdominal approach, rectal repair, and sigmoid resection. This major surgery has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When other procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate for this operation. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 45550
- 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 RVU24.18 · 60%
- Practice expense (office) RVU11.73 · 29%
- Malpractice RVU4.58 · 11%
98
Medicare services in 2024 · #4898 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.
45550 compared with similar codes
Office rates for Kansas, from the same CMS release.
No office rate
Choose 45540 for abdominal rectal prolapse repair without sigmoid resection; 45550 applies when the abdominal repair and sigmoid resection are both performed.
No office rate
45541 is used for rectal prolapse repair through a perineal approach. 45550 describes an abdominal operation that includes sigmoid resection.
$153.28
45520 is an external-approach prolapse treatment, unlike the abdominal rectal repair with sigmoid resection reported with 45550.
Compare 45550 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
Unavailable
Facility
$1238.91
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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 45550 in Kansas.
PPRRVU2026_Oct_nonQPP.csv
5,547
- Code
- 45550
- Physician work
- 24.18
- Practice expense
- 11.73
- Malpractice
- 4.58
GPCI2026.csv
54
- Locality
- Kansas
- Physician work
- 1.000
- Practice expense
- 0.904
- Malpractice
- 0.504
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 24.18 | × 1.000 | 24.1800 |
| Practice expense | 11.73 | × 0.904 | 10.6039 |
| Malpractice | 4.58 | × 0.504 | 2.3083 |
| Total RVUs | 37.0922 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kansas$1238.91
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 24.18 | 1 |
| Practice expense | 11.73 | 0.904 |
| Malpractice | 4.58 | 0.504 |
(24.18 × 1 + 11.73 × 0.904 + 4.58 × 0.504) × $33.4009 = $1238.91
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.
45550 billing questions
How does this differ from 45540?
45550 includes sigmoid resection with the abdominal rectal repair. 45540 is an abdominal repair for rectal prolapse without that sigmoid resection component.
When would 45541 be considered instead?
45541 describes rectal prolapse repair through a perineal approach. Use 45550 when the documented operation uses an abdominal approach and includes sigmoid resection.
Can the sigmoid resection and rectal repair be reported separately?
This code represents the combined rectal repair and sigmoid resection service. Do not separately report another code for the same work; evaluate any distinct additional procedure on its own documentation.
Should modifier 50 be appended?
No. Modifier 50 is inappropriate for this rectal operation, and a bilateral adjustment does not apply.
What operative documentation supports 45550?
Document the abdominal approach, the rectal repair or support performed, and the sigmoid colon resection. The note should distinguish this combined operation from prolapse repair without sigmoid resection.
How are assistant and co-surgeon claims handled?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is 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.
5,54445540,,Correct rectal prolapse,A,,17.67,8.32,NA,8.32,,3.18,29.17,29.17,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,54545541,,Correct rectal prolapse,A,,14.48,9.26,NA,9.26,,2.93,26.67,26.67,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,5464554F,,Pt recvd inhal anesthetic,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
5,54745550,,Repair rectum/remove sigmoid,A,,24.18,11.73,NA,11.73,,4.58,40.49,40.49,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,5484555F,,Pt recvd no inhal anesthic,I,,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
5,54945560,,Repair of rectocele,A,,11.21,5.84,NA,5.84,,1.92,18.97,18.97,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,55045562,,Exploration/repair of rectum,A,,17.53,11.41,NA,11.41,,4.69,33.63,33.63,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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