CPT code 45562: Rectal injury repair2026 Medicare rate & RVUs in Nevada
Reports operative abdominal exploration and repair for rectal injury when the surgeon must assess and treat the injury through a transabdominal approach.
CMS doesn’t publish an office rate for 45562 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 45562 covers
A surgeon uses an abdominal approach to inspect the rectum and repair an injury that requires operative treatment. This may arise after trauma or as a complication of another procedure. General and colorectal surgeons typically perform the service in an operating room, usually in a facility setting. The operative work centers on identifying the injury and repairing it, rather than treating rectal prolapse or a rectocele.
Documentation should identify the injury, its location and extent, the abdominal approach, and the repair performed. The related 90-day global period 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 not appropriate for this service. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is 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.
45562 in Nevada**
| Payment locality | Office | Facility |
|---|---|---|
| Nevada** | Unavailable | $1,097.49 |
How the 45562 rate is calculated
Each of 45562’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 · 45562
RVUs × geographic indexes × conversion factor
Work17.53
17.53 RVUs× 1.000 GPCI
Practice expense11.41
11.41 RVUs× 1.000 GPCI
Malpractice4.69
4.69 RVUs× 1.000 GPCI
Adjusted RVUs
33.6300
Conversion factor
$33.4009
Medicare rate
$1,123.27
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 45562
45562 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 45562
Rectal injury repair
| 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) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| 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 · 45562
Rectal injury repair
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
45562 without 51 · national facility
$1,123.27
Rectal injury repair
45562-51 · Second procedure: 50%
$561.64
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%).
45562 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 45563Rectal repair
- Use 45563 when the transabdominal injury repair includes a colostomy. 45562 describes the related repair without that additional procedure.
- 45500Rectal injury repair
- 45500 covers a different rectal repair circumstance. 45562 is for operative abdominal exploration and repair of a rectal injury.
- 45505Rectal repair
- 45505 is another rectal repair option, not the transabdominal injury exploration service represented by 45562.
45562 billing questions
How does 45562 differ from 45563?
45563 is the related option when the rectal injury repair is performed with a colostomy. Use 45562 when the documented service is the transabdominal exploration and repair without that additional procedure.
What documentation supports reporting 45562?
The operative report should describe the rectal injury, its location and extent, the transabdominal approach, and the repair performed.
Can modifier 50 be used?
No. The service is not reported bilaterally, so modifier 50 is inappropriate.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
Can an assistant or co-surgeon be reported?
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 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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