No office rate
Use 45112 for partial proctectomy with anastomosis when a colostomy is not performed. This code includes both the anastomosis and colostomy.
On this page
CMS RVU26D · Effective 2026-10-01
45114 Rectal resection Medicare reimbursement rates in Utah
Reports removal of part of the rectum with anastomosis and colostomy, typically during operative treatment of rectal disease. Compare 45114 office and facility rates across CMS payment localities in Utah.
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 45114 in Utah?
Utah 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
$1636.01
1 of 1 localities have a supported rate.
Payment area: Utah
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 45114: Partial proctectomy with anastomosis and colostomy
Reports removal of part of the rectum with anastomosis and colostomy, typically during operative treatment of rectal disease.
A colorectal or general surgeon removes a portion of the rectum, reconnects the bowel, and creates a colostomy during the same operation. This is major operative treatment for rectal disease, including cases requiring segmental resection; the operative report should establish the rectal resection, the anastomosis, and the colostomy performed.
Select this code when all three elements are documented, rather than choosing it solely from the diagnosis or the fact that a stoma was created. The day-before preoperative visit and 90 days of related postoperative care are included in its 90-day global period. 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. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted. Modifier 50 is inappropriate for this rectal procedure.
CMS billing rules for 45114
- 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 RVU30.02 · 59%
- Practice expense (office) RVU12.50 · 25%
- Malpractice RVU8.03 · 16%
13
Medicare services in 2024 · #6128 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.
45114 compared with similar codes
Office rates for Utah, from the same CMS release.
No office rate
45113 describes partial proctectomy with colostomy without the anastomosis represented by this code.
No office rate
45119 is for partial proctectomy with colonic J-pouch reconstruction; this code describes anastomosis with colostomy instead.
No office rate
45110 represents complete proctectomy, while this code is for removal of only part of the rectum with anastomosis and colostomy.
Compare 45114 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
Utah →
Office / nonfacility
Unavailable
Facility
$1636.01
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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 45114 in Utah.
PPRRVU2026_Oct_nonQPP.csv
5,470
- Code
- 45114
- Physician work
- 30.02
- Practice expense
- 12.50
- Malpractice
- 8.03
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 30.02 | × 1.000 | 30.0200 |
| Practice expense | 12.50 | × 0.940 | 11.7500 |
| Malpractice | 8.03 | × 0.898 | 7.2109 |
| Total RVUs | 48.9809 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Utah$1636.01
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 30.02 | 1 |
| Practice expense | 12.5 | 0.94 |
| Malpractice | 8.03 | 0.898 |
(30.02 × 1 + 12.5 × 0.94 + 8.03 × 0.898) × $33.4009 = $1636.01
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.
45114 billing questions
How does this differ from 45112?
This code includes a colostomy along with partial rectal resection and anastomosis. Choose 45112 when the documented procedure includes the anastomosis but not a colostomy.
Does the code include the colostomy?
Yes. The colostomy is part of the procedure represented by this code when performed with the partial proctectomy and anastomosis.
What operative documentation supports reporting it?
The operative report should identify the portion of rectum removed and document both the bowel anastomosis and creation of a colostomy.
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.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Should modifier 50 be used?
No. Modifier 50 is inappropriate for this rectal resection.
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.
5,46745111,,Partial removal of rectum,A,,17.56,9.07,NA,9.07,,3.63,30.26,30.26,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,46845112,,Removal of rectum,A,,32.35,12.11,NA,12.11,,4.66,49.12,49.12,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,46945113,,Partial proctectomy,A,,32.39,13.71,NA,13.71,,4.66,50.76,50.76,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,47045114,,Partial removal of rectum,A,,30.02,12.50,NA,12.50,,8.03,50.55,50.55,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,47145116,,Partial removal of rectum,A,,27.03,11.20,NA,11.20,,3.89,42.12,42.12,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,47245119,,Remove rectum w/reservoir,A,,32.64,13.77,NA,13.77,,4.71,51.12,51.12,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,47345120,,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
10104412,TX,15,GALVESTON,1.008,0.993,0.828
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985