GI · CMS status A
45378
Diagnostic colonoscopy
Colonoscopy, flexible; diagnostic, with or without collection of specimen(s) by brushing or washing.
Published by RVUDoc. Numeric data: CMS RVU26C, effective 2026-07-01. Page updated 2026-09-23. Calculation limits and editorial policy.
Work RVU
3.18
National non-QP estimate
$378.10
National GPCI · non-facility · CF $33.4009
Fee-schedule estimate before claim adjustments. Coverage, setting and payer rules still apply.
RVU anatomyWork 3.18 + Practice 7.73 + Malpractice 0.41 = 11.32 total
Work (your effort)Practice expenseMalpractice
Billing guidance for 45378 is locked
- When to use it: the exact clinical situations that support billing 45378
- Documentation checklist: the 5 elements your note needs before submitting
- Common pitfalls: the 1 mistakes that get 45378 downcoded or denied
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Common ICD-10 pairings
K92.1K59.00
See what 45378 adds to your year
Add it to the wRVU calculator with your own volume, or paste a note and let the chart audit check your coding.
Educational reference, not billing or legal advice. Verify against your payer contracts and your compliance team before submission.