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See a sample rate comparisonCPT 45347 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, Flexible; Diagnostic, Including Collection Of Specimens By Brushing Or Washing, When Performed With Placement Of Endoscopic Stent Includes Pre And Post-Dilat
| 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 52 - Reduced Services |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 45347 |
| Medicaid Fee Schedule | View Medicaid rates for 45347 |
National average reimbursement for CPT 45347 by major payers:
$218.46
$216.67
$227.02
$265.74
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CPT 45347
5 of 25 sample ratesHigher to lower in this preview
Southlake Ambulatory Surgery Center, Lllp, Spivey Station Surgery Center
Emory University
$3,022.00Published rateCypress Creek Outpatient Surgical Center, LLC
Cypress Creek Outpatient Surgical Center LLC
$1,390.00Published rateSouthern Surgery Center, LLC
Southern Surgery Center LLC
$852.00Published rateLahaye Center For Advanced Eye Care Of Lafayette, Inc.
$523.00Published rateSouthern California Stone Center
Urological Institute Of Southern California 401(K) Plan
$406.00Published rate
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See a sample payer proposalCPT 45347 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 45347 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 45347 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 |
|---|---|---|
| 45327-CPT | Low | Large Intestine Scope Exam, Exam Of The Large Intestine (Colon) Using A Scope (Sigmoidoscopy). The Procedure Implants A Support Device (Stent). |
| 45347-CPT | Moderate | Sigmoidoscopy, Flexible; Diagnostic, Including Collection Of Specimens By Brushing Or Washing, When Performed With Placement Of Endoscopic Stent Includes Pre And Post-Dilat |
| 45349-CPT | Moderate | Sigmoidoscopy, Flexible; Diagnostic, Including Collection Of Specimen(S) By Brushing Or Washing, When Performed With Endoscopic Mucosal Resection. |
| 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. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 45347. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 45347 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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