No office rate
Choose 45327 for rigid proctosigmoidoscopy with stent placement; choose 45347 when the stent is placed using a flexible sigmoidoscope.
On this page
CMS RVU26D · Effective 2026-10-01
45327 Stent placement Medicare reimbursement rates in Wisconsin
Rigid proctosigmoidoscopy with stent placement is reported when an endoscopist places a stent to treat a narrowing or obstruction in the distal bowel. Compare 45327 office and facility rates across CMS payment localities in Wisconsin.
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 45327 in Wisconsin?
Wisconsin 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
$97.45
1 of 1 localities have a supported rate.
Payment area: Wisconsin
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.
Endoscopy
About 45327: Rigid proctosigmoidoscopy with stent placement
Rigid proctosigmoidoscopy with stent placement is reported when an endoscopist places a stent to treat a narrowing or obstruction in the distal bowel.
A physician uses a rigid instrument to reach the rectum and distal sigmoid and place a stent across a narrowing or obstructed segment. This may be performed by a colorectal surgeon or gastroenterologist, commonly in a hospital or other procedural setting, when endoscopic stenting is chosen to restore or maintain passage through the affected area. The code represents the therapeutic stent-placement service, not a diagnostic examination alone.
Report the service when the operative note supports rigid proctosigmoidoscopy and actual stent placement; document the treated site, indication, and placement. The code has a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, CMS endoscopy-family pricing applies. Modifier 50 is inappropriate for this anatomy and service. Medicare does not pay an assistant-at-surgery claim for this code, and co-surgeon and team-surgery billing are not permitted.
CMS billing rules for 45327
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Multiple procedures
- Endoscopy family pricing applies when related endoscopies are performed together.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU1.85 · 56%
- Practice expense (office) RVU0.96 · 29%
- Malpractice RVU0.48 · 15%
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.
45327 compared with similar codes
Office rates for Wisconsin, from the same CMS release.
$979.27
45303 reports rigid proctosigmoidoscopic dilation. It does not describe placement of a stent.
$204.61
45330 is a flexible diagnostic sigmoidoscopy without the stent-placement treatment. It is not the code for a rigid therapeutic stent procedure.
Compare 45327 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
Wisconsin →
Office / nonfacility
Unavailable
Facility
$97.45
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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 45327 in Wisconsin.
PPRRVU2026_Oct_nonQPP.csv
5,497
- Code
- 45327
- Physician work
- 1.85
- Practice expense
- 0.96
- Malpractice
- 0.48
GPCI2026.csv
111
- Locality
- Wisconsin
- Physician work
- 1.000
- Practice expense
- 0.958
- Malpractice
- 0.308
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.85 | × 1.000 | 1.8500 |
| Practice expense | 0.96 | × 0.958 | 0.9197 |
| Malpractice | 0.48 | × 0.308 | 0.1478 |
| Total RVUs | 2.9175 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wisconsin$97.45
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.85 | 1 |
| Practice expense | 0.96 | 0.958 |
| Malpractice | 0.48 | 0.308 |
(1.85 × 1 + 0.96 × 0.958 + 0.48 × 0.308) × $33.4009 = $97.45
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.
45327 billing questions
How does this differ from 45347?
45327 is for stent placement using rigid proctosigmoidoscopy. Code 45347 describes stent placement using flexible sigmoidoscopy.
Can a diagnostic proctosigmoidoscopy also be reported?
The examination needed to locate the narrowing and place the stent is part of the therapeutic service. A separate diagnostic code should reflect a distinct, separately reportable service, not the same examination.
What documentation supports reporting this code?
Document use of a rigid proctosigmoidoscope, the distal bowel site and indication, and that a stent was placed. The note should distinguish placement from evaluation or another intervention such as dilation alone.
Should modifier 50 be used for a stent on each side?
No. CMS identifies bilateral adjustment as inappropriate for this code; modifier 50 does not describe the service or anatomy.
How are related endoscopies handled in the same session?
CMS endoscopy-family pricing applies when related endoscopies are performed together. The claim should identify the procedures actually performed, with documentation supporting each service.
Can an assistant or co-surgeon be billed?
Medicare does not pay an assistant-at-surgery claim for this code. Co-surgeon and team-surgery billing are 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 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.
5,49445317,,Proctosigmoidoscopy bleed,A,,1.85,5.04,,0.92,,0.30,7.19,3.07,0,000,0.00,0.00,0.00,3,0,1,0,0,9,45300,33.4009,09,0,99,0.00,0.00,0.00
5,49545320,,Proctosigmoidoscopy ablate,A,,1.64,5.29,,0.91,,0.43,7.36,2.98,0,000,0.00,0.00,0.00,3,0,1,0,0,9,45300,33.4009,09,0,99,0.00,0.00,0.00
5,49645321,,Proctosigmoidoscopy volvul,A,,1.61,0.90,NA,0.90,,0.43,2.94,2.94,0,000,0.00,0.00,0.00,3,0,1,0,0,9,45300,33.4009,09,0,99,0.00,0.00,0.00
5,49745327,,Proctosigmoidoscopy w/stent,A,,1.85,0.96,NA,0.96,,0.48,3.29,3.29,0,000,0.00,0.00,0.00,3,0,1,0,0,9,45300,33.4009,09,0,99,0.00,0.00,0.00
5,49845330,,Diagnostic sigmoidoscopy,A,,0.82,5.50,,0.67,,0.12,6.44,1.61,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5,49945331,,Sigmoidoscopy and biopsy,A,,1.11,8.42,,0.75,,0.14,9.67,2.00,0,000,0.00,0.00,0.00,3,0,1,0,0,9,45330,33.4009,09,0,99,0.00,0.00,0.00
5,50045332,,Sigmoidoscopy w/fb removal,A,,1.72,7.43,,0.93,,0.22,9.37,2.87,0,000,0.00,0.00,0.00,3,0,1,0,0,9,45330,33.4009,09,0,99,0.00,0.00,0.00
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,