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See a sample rate comparisonCPT 45340 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.
Exam Of Narrowed Intestine, An Exam Of The Large Intestine Using A Scope (Sigmoidoscopy). The Procedure Enlarges A Section That Has Become Narrowed.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None 51 - Multiple procedures 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 45340 |
| Medicaid Fee Schedule | View Medicaid rates for 45340 |
National average reimbursement for CPT 45340 by major payers:
$509.30
$581.40
$637.95
$170.75
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CPT 45340
5 of 25 sample ratesHigher to lower in this preview
West Orange Asc LLC, Gregori Surgery Center
West Orange Asc LLC
$3,157.00Published rateSelect Physicians Surgery Centers
Select Physicians Surgery Center, LLC
$1,276.00Published rateNaperville Surgical Centre LLC
Naperville Surgical Centre, LLC
$963.00Published rateEyes On Stark Surgery Center, LLC, Vista Surgical Center
Eyes On Stark Surgery Center, LLC Dba Vista Surgical Center
$535.00Published rateShea Souders
Deaconess Hospital Inc
$355.39Published rate
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See a sample payer proposalCPT 45340 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 45340 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 45340 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 |
|---|---|---|
| 45340-CPT | Moderate | Exam Of Narrowed Intestine, An Exam Of The Large Intestine Using A Scope (Sigmoidoscopy). The Procedure Enlarges A Section That Has Become Narrowed. |
| 45341-CPT | Low | Sigmoidoscopy Flexible Diagn, Sigmoidoscopy Flexible Diagnostic With Or Woutcollection Of Specimen(S) By Brushing Or Washing (Separate Procedure) With Endoscopic Ultrasound Examination. |
| 45350-CPT | Moderate | Treatment For Hemorrhoid, Procedure On The Intestine With A Scope (Sigmoidoscopy). It Includes Applying A Small Band To The Base Of The Hemorrhoid Which Stops The Flow Of Blood. |
| 45386-CPT | Moderate | Enlarge Interior Of Intestines, An Exam Of The Lower Part Of The Intestine (Colon) Using A Scope (Colonoscopy). The Procedure Includes Stretching Or Enlarging The Interior Where The Intestine Has Become Too Narrow (Stricture). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 45340. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 45340 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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