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See a sample rate comparisonCPT 45379 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.
Colonoscopy Flexible Proxima, Colonoscopy Flexible Proximal To Splenic Flexure Withremoval Of Foreign Body Colonoscopy Flexible Proximal To Splenic Flexure With
| 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 33 - Preventive Services 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 45379 |
| Medicaid Fee Schedule | View Medicaid rates for 45379 |
National average reimbursement for CPT 45379 by major payers:
$574.91
$601.81
$643.16
$420.56
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CPT 45379
5 of 25 sample ratesHigher to lower in this preview
Surgical Center At Columbia Orthopaedic Group LLC
$2,197.00Published rateMontgomery Surgical Center, Ltd
Montgomery Surgical Center Ltd
$1,001.00Published rateEl Paso Surgery Centers Lp
$830.00Published rateAndochick Surgical Center LLC, Physicians Surgery Center Of Frederick
Andochick Surgical Center LLC
$690.00Published rateNovamed Surgery Center Of Jonesboro, LLC, Eye Surgery Center Of Arkansas
Novamed Surgery Center Of Jonesboro LLC
$369.00Published rate
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See a sample payer proposalCPT 45379 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 45379 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 45379 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 |
|---|---|---|
| 45332-CPT | Moderate | Sigmoidoscopy Flexible With, Sigmoidoscopy Flexible With Removal Of Foreign Bodysigmoidoscopy Flexible With Removal Of Foreign Body |
| 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 |
| 45379-CPT | Moderate | Colonoscopy Flexible Proxima, Colonoscopy Flexible Proximal To Splenic Flexure Withremoval Of Foreign Body Colonoscopy Flexible Proximal To Splenic Flexure With |
| 45392-CPT | Moderate | Colonoscopy W Endoscopic Fnb, Colonoscopy Flexible With Transendoscopic Ultrasound Guided Intramural Or Transmural Fine Needle Aspiration Biopsy S Includes Endoscopic Ultrasound Examination Limited To The Rectum Sigmoid Descending Transverse Or Ascending Colon And Cecum And Adjacent Structures |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 45379. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 45379 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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