Billing code 45150: Stricture excisionMedicare rate & RVUs in Nevada
Report rectal stricture excision when a surgeon removes scarred tissue causing a narrowed rectal passage rather than treating the narrowing by dilation alone.
CMS doesn’t publish an office rate for 45150 in Nevada.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 45150 covers
A colorectal or general surgeon removes tissue responsible for a fixed narrowing of the rectum, typically through a transanal approach. The procedure treats a symptomatic stricture that impedes passage through the rectum; it is distinct from simply stretching the narrowed area. It is generally performed in a surgical facility rather than as an office service.
Choose this code when the operative report supports excision of the stenotic tissue, not dilation alone, biopsy, or removal of a separate rectal lesion. Documentation should identify the stricture, its location and extent, the approach, and the tissue removed. This major surgery includes the day-before preoperative visit and 90 days of related postoperative care. 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% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.
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.
45150 in Nevada**
| Payment locality | Office | Facility |
|---|---|---|
| Nevada** | Unavailable | $409.93 |
How the 45150 rate is calculated
Each of 45150’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 45150
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 5.70Practice expense 5.31Malpractice 1.51
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 45150
45150 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 45150
Stricture excision
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.81/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 45150
Stricture excision
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
45150 without 51 · national facility
$418.18
Stricture excision
45150-51 · Second procedure: 50%
$209.09
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
45150 compared with similar codes
Compare codes
45150 vs 45910 vs 45100 vs 45160: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 45910Rectal dilation
- 45910 describes dilation of a rectal stricture. Use 45150 when the surgeon excises the stenotic tissue instead of only stretching the narrowed passage.
- 45100Rectal biopsy
- 45100 is for biopsy of rectal tissue. It does not represent definitive excision of tissue causing a stricture.
- 45160Rectal lesion excision
- 45160 describes excision of a rectal lesion. Choose 45150 when the operative target is the stricture itself, rather than a separate lesion.
45150 billing questions
How is excision different from dilation of a rectal stricture?
Use this code when the surgeon removes tissue causing the narrowing. Dilation, which stretches the narrowed area without excising the stricture, is reported with 45910.
Can a rectal biopsy be reported instead?
A biopsy code describes tissue sampling for diagnosis, not definitive removal of stenotic tissue. Report 45150 when the operative service is excision of the stricture.
Is modifier 50 appropriate for a stricture on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code because the descriptor or anatomy does not support modifier 50.
What documentation supports reporting this code?
The operative note should establish a rectal stricture and describe its location, extent, approach, and excision of the stenotic tissue. Dilation alone does not support this code.
When may an assistant-at-surgery be paid?
Assistant-at-surgery payment is available only when the record documents medical necessity. Co-surgeon and team-surgery payment are not permitted for this code.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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