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See a sample rate comparisonCPT 45000 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Transrectal Drainage Of Pelvic Abscess
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 51 - Multiple procedures 78 - Return to OR - related procedure |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 45000 |
| Medicaid Fee Schedule | View Medicaid rates for 45000 |
National average reimbursement for CPT 45000 by major payers:
$526.11
$552.40
$593.08
$681.22
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CPT 45000
5 of 25 sample ratesHigher to lower in this preview
Wellbridge Surgical, LLC
Wellbridge Surgical
$3,600.00Published rateSummit Ambulatory Surgical Center, LLC
$1,233.00Published rateWatauga Surgical Partners PLLC
$794.00Published rateHemlock Ambulatory Surgery Center
$575.00Published rateMidwest Eye Consultants, P.C., Cli Surgery Center
Midwest Eye Consultants, P.C.
$475.00Published rate
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See a sample payer proposalCPT 45000 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 45000 code is part of the Surgery services used for Surgical Procedures on the Digestive System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 45000 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 44900-CPT | Moderate | I & D Of Appendiceal Abscess, Transabdom |
| 45000-CPT | Moderate | Transrectal Drainage Of Pelvic Abscess |
| 45005-CPT | Moderate | I&D Abscess Rectum Submucous |
| 45020-CPT | Moderate | Ncision & Drain Of Deep Supralevator Pelvirectal Or Retrorecta, Incision And Drainage Of Deep Supralevator Pelvirectal Or Retrorecta |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 45000. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 45000 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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