GI · CMS status A
45385
Colonoscopy w/lesion removal
Colonoscopy with removal of tumor(s), polyp(s), or other lesion(s) by snare technique.
Published by RVUDoc. Numeric data: CMS RVU26C, effective 2026-07-01. Page updated 2026-09-23. Calculation limits and editorial policy.
Work RVU
4.46
National non-QP estimate
$500.01
National GPCI · non-facility · CF $33.4009
Fee-schedule estimate before claim adjustments. Coverage, setting and payer rules still apply.
RVU anatomyWork 4.46 + Practice 10.00 + Malpractice 0.51 = 14.97 total
Work (your effort)Practice expenseMalpractice
Billing guidance for 45385 is locked
- When to use it: the exact clinical situations that support billing 45385
- Documentation checklist: the 3 elements your note needs before submitting
- Common pitfalls: the 2 mistakes that get 45385 downcoded or denied
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Common modifiers
PT3359
Common ICD-10 pairings
K63.5D12.6
Related codes
These include alternative services and possible add-ons. Listing codes together does not establish that they can be billed together; check the applicable edits and payer policy.
See what 45385 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.