Billing code 45347: Sigmoidoscopy stentingMedicare rate & RVUs in Utah
Reports flexible sigmoidoscopy with placement of a stent across a narrowed large-bowel segment, commonly to relieve obstruction from a colorectal lesion.
CMS doesn’t publish an office rate for 45347 in Utah.
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 45347 covers
A gastroenterologist or colorectal surgeon advances a flexible endoscope through the rectum into the sigmoid or left colon and places a stent across a narrowed segment. A typical setting is a hospital or endoscopy unit treating a large-bowel obstruction, often from a colorectal tumor. The stent bridges the stenosis to restore or maintain passage through the bowel. Guidewire passage and dilation before or after stent placement, when performed, are part of this service.
Report 45347 when the documented procedure includes stent placement by flexible sigmoidoscopy, rather than diagnostic inspection alone or dilation without stenting. The operative report should identify the stenosis site and indication, scope used, and stent deployment. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, endoscopy family pricing applies. CMS does not pay an assistant at surgery for this service; co-surgeon and team-surgery billing 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.
45347 in Utah
| Payment locality | Office | Facility |
|---|---|---|
| Utah | Unavailable | $133.30 |
How the 45347 rate is calculated
Each of 45347’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 · 45347
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 2.65Practice expense 1.14Malpractice 0.30
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 45347
The CMS indicators that decide how 45347 is paid alongside other services.
CMS payment indicators · 45347
Sigmoidoscopy stenting
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 3 | Endoscopy family rules apply. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
45347 without 51 · national facility
$136.61
Sigmoidoscopy stenting
45347-51 · Second procedure: 50%
$68.31
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%).
45347 compared with similar codes
Compare codes
45347 vs 45327 vs 45330 vs 45340 vs 45389: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 45327Stent placement
- 45327 uses rigid proctosigmoidoscopy for stent placement. 45347 describes stent placement using a flexible sigmoidoscope.
- 45330Flexible sigmoidoscopy
- 45330 is a diagnostic flexible sigmoidoscopy. It does not describe placement of a stent across a narrowing.
- 45340Sigmoidoscopy dilation
- 45340 covers balloon dilation of a narrowed segment; 45347 is selected when a stent is placed.
- 45389Colonoscopy
- Both codes describe endoscopic stent placement, but 45389 uses a colonoscope while 45347 uses a flexible sigmoidoscope.
45347 billing questions
Is dilation separately reported with stent placement?
Pre- and post-dilation and guidewire passage, when performed as part of the stent procedure, are included in 45347. Do not separately report those components as though they were independent procedures.
How does 45347 differ from 45340?
45347 is for stent placement. Choose 45340 when the endoscopic treatment is balloon dilation of a narrowing and no stent is placed.
Can an assistant-at-surgery or co-surgeon be billed?
CMS does not pay an assistant at surgery for 45347. Co-surgeon and team-surgery billing are not permitted for this service.
What happens when another related endoscopy is performed in the same session?
CMS endoscopy family pricing applies when related endoscopies are performed together. Document each distinct service performed and the findings supporting it.
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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