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See a sample rate comparisonCPT 45337 Fee Schedule
Last Verified: September 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.
Sigmoidoscopy Decompress, Sigmoidoscopy Flexible With Decompression For Pathologic Distention Eg Volvulus Megacolon Including Placement Of Decompression Tube When Performed
| 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 GC - Service performed by resident under supervision AG - Primary physician |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 45337 |
| Medicaid Fee Schedule | View Medicaid rates for 45337 |
National average reimbursement for CPT 45337 by major payers:
$162.95
$169.21
$174.25
$198.61
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CPT 45337
5 of 25 sample ratesHigher to lower in this preview
Court Street Surgery Center, Lp
$3,513.00Published rateTavares Surgery LLC
$1,276.00Published rateCypress Outpatient Surgical Center, Inc.
$819.50Published rateSurgical Center Of Peak Endoscopy, LLC
Surgical Center Of Peak Endoscopy LLC
$630.00Published rateSt Johns Surgery Center LLC
$343.00Published rate
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See a sample payer proposalCPT 45337 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 45337 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 45337 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 |
|---|---|---|
| 45337-CPT | Low | Sigmoidoscopy Decompress, Sigmoidoscopy Flexible With Decompression For Pathologic Distention Eg Volvulus Megacolon Including Placement Of Decompression Tube When Performed |
| 45338-CPT | Moderate | Colonoscopy To Remove Tissue, An Exam Of The Lower Part Of The Large Intestine (Colon) Using A Scope (Sigmoidoscopy). The Procedure Removes Abnormal Tissue Growths Such As Tumors Or Polyps. |
| 45382-CPT | Moderate | Colonoscopy Flexible Proxima, Colonoscopy Flexible Proximal To Splenic Flexure Withcontrol Of Bleeding Any Method Colonoscopy Flexible Proximal To Splenic Flexure With |
| 45393-CPT | Moderate | Colonoscopy W Decompression, Colonoscopy Flexible With Decompression For Pathologic Distention Eg Volvulus Megacolon Including Placement Of Decompression Tube 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 45337. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 45337 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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