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See a sample rate comparisonCPT 45382 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.
Colonoscopy Flexible Proxima, Colonoscopy Flexible Proximal To Splenic Flexure Withcontrol Of Bleeding Any Method 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 21 - Inpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service PT - Colorectal cancer screening test; converted to diagnostic test or other procedure |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 45382 |
| Medicaid Fee Schedule | View Medicaid rates for 45382 |
National average reimbursement for CPT 45382 by major payers:
$819.22
$890.20
$957.39
$1,082.08
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CPT 45382
5 of 25 sample ratesHigher to lower in this preview
Oscar Verzosa
$1,565.96Published rateJohn Ahrens
Cumberland Internal Medicine, P.A.
$771.23Published ratePaul Hierholzer
$479.73Published rateYue Wang
Yue Wang Md, LLC
$399.77Published rateShahida Abbas
Shahida Abbas Md LLC
$157.55Published rate
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See a sample payer proposalCPT 45382 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 45382 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 45382 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 |
|---|---|---|
| 45334-CPT | Moderate | Intestinal Bleeding Scope Exam, An Exam Of The Lower Part Of The Large Intestine (Colon) Using A Scope (Sigmoidoscopy). The Procedure Treats Bleeding. |
| 45346-CPT | High | 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 45382. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 45382 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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