45385
GICMS status: AColonoscopy with removal of tumor(s), polyp(s), or other lesion(s) by snare technique.
Work RVU
4.43
Practice RVU
6.03
Malpractice RVU
0.44
Total RVU
10.90
2026 Medicare payment
$364.07
National GPCI = 1.000 · Conversion factor $33.4009 · Non-facility
Model this code
Drop 45385 into a scenario to see how unit volume rolls up to annual wRVUs, gross collections, and bonus.
Open in calculator →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.