GI · CMS status A
45378
Diagnostic colonoscopy
Colonoscopy, flexible; diagnostic, with or without collection of specimen(s) by brushing or washing.
Work RVU
3.36
2026 Medicare pays
$287.92
National GPCI · non-facility · CF $33.4009
RVU anatomyWork 3.36 + Practice 4.92 + Malpractice 0.34 = 8.62 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
Educational reference, not billing or legal advice. Verify against your payer contracts and your compliance team before submission.