No office rate
This code is for complete rectal removal; 45126 is for complete pelvic exenteration involving multiple pelvic organs for malignancy.
On this page
CMS RVU26D · Effective 2026-10-01
45126 Pelvic exenteration Medicare reimbursement rates in Oregon
Reports complete pelvic exenteration for malignancy, an extensive operation removing multiple pelvic organs when cancer involves or recurs across pelvic structures. Compare 45126 office and facility rates across CMS payment localities in Oregon.
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 45126 in Oregon?
Oregon has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$2397.93–$2504.63
2 of 2 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.
Pelvic oncology surgery
About 45126: Complete pelvic exenteration for malignancy
Reports complete pelvic exenteration for malignancy, an extensive operation removing multiple pelvic organs when cancer involves or recurs across pelvic structures.
Pelvic exenteration is an extensive operation for locally advanced or recurrent pelvic cancer that requires removal of multiple pelvic organs as part of one surgical plan. The organs removed depend on the tumor’s location and extent; the procedure may involve colorectal, gynecologic oncology, and urologic surgeons. It is typically performed in a hospital operating room, not an office setting.
Select this code when the operative report supports complete exenteration for malignancy, rather than removal of the rectum alone or a partial rectal resection. Document the cancer indication, structures removed, and extent of the operation. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When other procedures are performed in the same session, the highest-valued procedure is paid in full and others are subject to the standard multiple-procedure reduction. Modifier 50 is not appropriate for this operation. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 45126
- 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 RVU47.87 · 64%
- Practice expense (office) RVU18.16 · 24%
- Malpractice RVU8.30 · 11%
107
Medicare services in 2024 · #4830 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.
45126 compared with similar codes
Office rates for Oregon, from the same CMS release.
No office rate
45111 describes partial rectal removal. Choose 45126 when the documented operation is complete exenteration rather than a limited rectal resection.
No office rate
45121 covers removal of the rectum and colon. It is not the exenteration code unless the operative plan and documentation support complete pelvic exenteration.
Compare 45126 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.
2 of 2 payment localities
Portland →
Office / nonfacility
Unavailable
Facility
$2504.63
Rest Of Oregon →
Office / nonfacility
Unavailable
Facility
$2397.93
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45126 billing questions
How is this different from a proctectomy?
Exenteration involves complete removal of multiple pelvic organs for malignancy. A proctectomy is selected when the planned operation removes the rectum without the broader pelvic-organ resection.
What documentation supports reporting this code?
The operative report should establish the malignant indication, the organs removed, and that the procedure was a complete pelvic exenteration rather than an isolated rectal resection.
Are related postoperative visits included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are other procedures performed in the same session paid?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
Should modifier 50 be appended?
No. This is not a paired-side operation, so modifier 50 is inappropriate.
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.
5,47345120,,Removal of rectum,A,,25.74,12.24,NA,12.24,,6.87,44.85,44.85,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,47445121,,Removal of rectum and colon,A,,28.35,12.87,NA,12.87,,7.59,48.81,48.81,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,47545123,,Partial proctectomy,A,,18.39,9.25,NA,9.25,,3.28,30.92,30.92,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,47645126,,Pelvic exenteration,A,,47.87,18.16,NA,18.16,,8.30,74.33,74.33,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,47745130,,Excision of rectal prolapse,A,,18.04,8.80,NA,8.80,,3.24,30.08,30.08,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,47845135,,Excision of rectal prolapse,A,,21.80,10.88,NA,10.88,,3.13,35.81,35.81,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,47945136,,Excise ileoanal reservior,A,,30.05,14.58,NA,14.58,,4.32,48.95,48.95,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00