$132.20–$142.97
45300 is a diagnostic rigid proctosigmoidoscopy. Choose 45307 when a foreign object is actually retrieved during the rigid examination.
On this page
CMS RVU26D · Effective 2026-10-01
45307 Foreign body removal Medicare reimbursement rates in Missouri
Reports removal of a foreign object from the rectum or distal sigmoid using a rigid proctosigmoidoscope, rather than a flexible sigmoidoscope. Compare 45307 office and facility rates across CMS payment localities in Missouri.
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 45307 in Missouri?
Missouri 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
$212.61–$228.33
3 of 3 localities have a supported rate.
Facility setting
$91.39–$94.46
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 45307 pays more and less in Missouri
3 payment localities
$212.61 to $228.33
Gastrointestinal endoscopy
About 45307: Rigid proctosigmoidoscopy with foreign body removal
Reports removal of a foreign object from the rectum or distal sigmoid using a rigid proctosigmoidoscope, rather than a flexible sigmoidoscope.
A clinician advances a rigid proctosigmoidoscope through the anus to locate and retrieve a foreign object in the rectum or distal sigmoid. A gastroenterologist, colorectal surgeon, or other qualified physician may perform the procedure in an office, endoscopy suite, or operating room, depending on the object and clinical circumstances. Retrieval instruments may be passed through the scope. This code describes foreign-body extraction, not removal of a polyp or other lesion.
Report 45307 when the documented procedure uses a rigid proctosigmoidoscope to remove the object. The record should identify the object and its location, the scope used, the retrieval performed, and relevant findings. This minor procedure has a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, endoscopy family pricing applies. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 45307
- 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
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU1.56 · 22%
- Practice expense (office) RVU5.10 · 72%
- Malpractice RVU0.42 · 6%
79
Medicare services in 2024 · #5066 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.
45307 compared with similar codes
Office rates for Missouri, from the same CMS release.
$176.93–$191.01
45305 describes biopsy during rigid proctosigmoidoscopy; 45307 describes removal of a foreign object, not tissue sampling.
$202.95–$218.84
45308 is for removal of a tumor, polyp, or other lesion by specified techniques. Use 45307 for foreign-object retrieval.
$278.53–$301.07
Both codes involve foreign-body removal, but 45332 is performed with a flexible sigmoidoscope; 45307 uses a rigid proctosigmoidoscope.
Compare 45307 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
Metropolitan Kansas City →
Office / nonfacility
$225.76
Facility
$93.72
Metropolitan St. Louis →
Office / nonfacility
$228.33
Facility
$94.46
Rest Of Missouri →
Office / nonfacility
$212.61
Facility
$91.39
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45307 billing questions
When should 45307 be chosen instead of 45332?
Use 45307 when the foreign body is removed with a rigid proctosigmoidoscope. Code 45332 describes foreign-body removal during flexible sigmoidoscopy.
Is 45307 appropriate for removing a polyp?
No. This code is for retrieval of a foreign object. Choose the code that describes the documented lesion-removal method when a polyp or other lesion is removed.
What should the procedure note support?
Document the foreign object, its location, use of a rigid proctosigmoidoscope, and the retrieval performed. Include relevant findings from the examination.
How are related endoscopies priced when performed together?
CMS endoscopy family pricing applies when related endoscopies are performed together.
Does the 0-day global include same-day care?
Yes. Same-day preoperative and postoperative care is included in the 0-day global period.
When can an assistant-at-surgery be paid?
Assistant-at-surgery payment is available only when the documentation supports medical necessity.
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.
5,48745300,,Proctosigmoidoscopy dx,A,,0.78,3.54,,0.44,,0.13,4.45,1.35,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,48845303,,Proctosigmoidoscopy dilate,A,,1.37,29.10,,0.80,,0.23,30.70,2.40,0,000,0.00,0.00,0.00,3,0,1,0,0,9,45300,33.4009,09,0,99,0.00,0.00,0.00
5,48945305,,Proctosigmoidoscopy w/bx,A,,1.12,4.62,,0.75,,0.20,5.94,2.07,0,000,0.00,0.00,0.00,3,0,1,0,0,9,45300,33.4009,09,0,99,0.00,0.00,0.00
5,49045307,,Proctosigmoidoscopy fb,A,,1.56,5.10,,0.89,,0.42,7.08,2.87,0,000,0.00,0.00,0.00,3,0,0,0,0,9,45300,33.4009,09,0,99,0.00,0.00,0.00
5,49145308,,Proctosigmoidoscopy removal,A,,1.27,5.18,,0.82,,0.35,6.80,2.44,0,000,0.00,0.00,0.00,3,0,1,0,0,9,45300,33.4009,09,0,99,0.00,0.00,0.00
5,49245309,,Proctosigmoidoscopy removal,A,,1.37,5.27,,0.84,,0.37,7.01,2.58,0,000,0.00,0.00,0.00,3,0,1,0,0,9,45300,33.4009,09,0,99,0.00,0.00,0.00
5,49345315,,Proctosigmoidoscopy removal,A,,1.66,5.43,,0.91,,0.43,7.52,3.00,0,000,0.00,0.00,0.00,3,0,1,0,0,9,45300,33.4009,09,0,99,0.00,0.00,0.00