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See a sample rate comparisonCPT 45112 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Removal Of Rectum, Removal Of Rectum And Suturing Of Large Bowel To Anus Via Incision Of Abdomen And Region Between Thighs (Combined Abdominoperineal Approach)
| 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 22 - Increased Procedural Services 51 - Multiple procedures |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 45112 |
| Medicaid Fee Schedule | View Medicaid rates for 45112 |
National average reimbursement for CPT 45112 by major payers:
$2,368.14
$2,490.74
$2,590.78
$2,966.96
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CPT 45112
5 of 25 sample ratesHigher to lower in this preview
Columbia Medical Center Of Plano Subsidiary Lp, Medical City Plano
$10,364.00Published rateChesterfield Spine Center, LLC, St. Louis Spine And Orthopedic Surgery Center
Chesterfield Spine Center LLC
$1,039.00Published rateSan Luis Obispo Ca Endoscopy Asc Lp, Endoscopy Center Of The Central Coast
San Luis Obispo Ca Endoscopy Asc Lp
$686.00Published rateSarasota Ambulatory Surgery Center Ltd, Sarasota Ambulatory Surgery Center
Sarasota Ambulatory Surgery Center Ltd
$424.00Published rateDoctors Surgery Center LLC
$300.00Published rate
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See a sample payer proposalCPT 45112 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 45112 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 45112 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 |
|---|---|---|
| 45111-CPT | High | Partial Removal Of The Rectum, Surgical Removal Of A Portion Of The Rectum. The Remaining Healthy Segments Of The Rectum Are Reconnected. |
| 45112-CPT | High | Removal Of Rectum, Removal Of Rectum And Suturing Of Large Bowel To Anus Via Incision Of Abdomen And Region Between Thighs (Combined Abdominoperineal Approach) |
| 45113-CPT | High | Proctectomy Partial With Rec, Proctectomy Partial With Rectal Mucosectomy Ileoanalanastomosis Creation Of Ileal Reservoir (S Or J) With Or Without Loop Ileostomy |
| 45119-CPT | High | Remove Rectum W Reservoir, Proctectomy Combined Abdominoperineal Pull Through Procedure Eg Colo Anal Anastomosis With Creation Of Colonic Reservoir Eg J Pouch With Diverting Enterostomy When Performed |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 45112. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 45112 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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