GI · CMS status A
45385
Colonoscopy w/ snare polypectomy
Colonoscopy with removal of tumor(s), polyp(s), or other lesion(s) by snare technique.
Work RVU
4.43
2026 Medicare pays
$364.07
National GPCI · non-facility · CF $33.4009
RVU anatomyWork 4.43 + Practice 6.03 + Malpractice 0.44 = 10.90 total
Work (your effort)Practice expenseMalpractice
When to use it
Diagnostic colonoscopy with snare polypectomy.
Documentation checklist
- ✓Indication, scope insertion to cecum/landmark.
- ✓Each polyp's location, size, technique.
- ✓Specimens to pathology.
Common pitfalls
- !If multiple polyps removed by different techniques (snare + cold biopsy), bill each code with modifier 59.
- !If converted from a screening, use modifier PT (Medicare) or 33 (commercial).
Common modifiers
PT3359
Common ICD-10 pairings
K63.5D12.6
Pairs well with
Educational reference, not billing or legal advice. Verify against your payer contracts and your compliance team before submission.