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See a sample rate comparisonCPT 45150 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.
Divide Stricture Rectal
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service SG - Scene to Hospital ESRD facility 51 - Multiple procedures AG - Primary physician |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 45150 |
| Medicaid Fee Schedule | View Medicaid rates for 45150 |
National average reimbursement for CPT 45150 by major payers:
$507.57
$540.19
$562.13
$666.69
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CPT 45150
5 of 25 sample ratesHigher to lower in this preview
New Port Richey Surgery Center Ltd
$5,532.00Published rateMedstar Surgery Center At Lafayette Centre, LLC
Medstar Surgery Center At Lafayette Centre LLC
$1,438.00Published rateEye Surgery And Laser Clinic, Inc.
Eye Surgery And Laser Clinic Inc
$827.00Published rateThe Physicians' North Atlanta Surgery Center LLC
The Physicians North Atlanta Surgery Center LLC
$496.00Published rateSurgical Center Of Ponte Vedra Beach, LLC
Surgical Center Of Ponte Vedra B
$330.00Published rate
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See a sample payer proposalCPT 45150 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 45150 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 45150 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 |
|---|---|---|
| 45135-CPT | High | Remove Rectum Out Of Anus, Removal Of Complete Rectal Prolapse (Condition Where Wall Of Rectum Falls Out Of Place And Protrudes From Anus). |
| 45136-CPT | High | Rectum Surgery With New Stoma, Surgery To Remove The Pouch Formed Of Small Intestine To Hold Stool (Ileoanal Reservoir) And To Connect The Small Bowel To A Surgically Created Opening In The Abdominal Wall (Stoma). |
| 45150-CPT | Moderate | Divide Stricture Rectal |
| 45160-CPT | High | Xcision Of Rectal Tumor By Proctotomy Transsacral/Transcoccyge, Excision Of Rectal Tumor By Proctotomy Transsacral Or Transcoccygeal |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 45150. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 45150 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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