CPT 45382 Fee Schedule
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.
| 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 |
National average reimbursement for CPT 45382 by major payers:
$819.22
$890.20
$957.39
$1,082.08
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 45382 | ||||||
United | 45382 | $529.30 | 1063464246 - MEDHAT RAOUF | 222861675 | NJ | Internal Medicine Physician (207R00000X) |
United | 45382 | $458.32 | 1497761589 - ILYAS AHMED | 222983268 - DR. ILYAS AHMED | NJ | Internal Medicine Physician (207R00000X) |
United | 45382 | $771.23 | 1568443646 - JOHN AHRENS | 223053211 - (NJ) CUMBERLAND INTERNAL MEDICINE, P.A. | NJ | Internal Medicine Physician (207R00000X) |
United | 45382 | $739.15 | 1053769513 - SACHA CHARLES | 20701782 - ATLANTICARE PHYSICIAN GROUP PA | NJ | Internal Medicine Physician (207R00000X) |
United | 45382 | $399.77 | 1225143134 - YUE WANG | 205197927 - (NJ) YUE WANG MD, LLC | NJ | Internal Medicine Physician (207R00000X) |
United | 45382 | $157.55 | 1861511610 - ANNETA GOLUBCHIK | 900343259 - (NJ) PRUDENT MD, LLC. | NJ | Internal Medicine Physician (207R00000X) |
United | 45382 | $288.69 | 1427027200 - HANY SOURIAL | 221546163 - (NJ) CHRISTIAN HEALTH CARE CENTER | NJ | Internal Medicine Physician (207R00000X) |
United | 45382 | $399.77 | 1548327257 - JASMINE ARORA | 222682708 - (NJ) HENRY J AUSTIN HEALTH CENTER INC | NJ | Internal Medicine Physician (207R00000X) |
United | 45382 | $405.79 | 1942538715 - AHMED SEMAN | 811787119 - (NJ) COMMUNITY PRIMARY CARE PC | NJ | Internal Medicine Physician (207R00000X) |
United | 45382 | $1345.26 | 1659460509 - SANGEETA BUDDALA | 223537011 - ADVOCARE, LLC | NJ | Internal Medicine Physician (207R00000X) |
United | 45382 | $1565.96 | 1396844148 - OSCAR VERZOSA | 841928885 | NJ | Internal Medicine Physician (207R00000X) |
United | 45382 | $1435.92 | 1114938461 - MOHAMMED ISLAM | 141981653 - (NJ) HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - PRIMARY CARE PC | NJ | Internal Medicine Physician (207R00000X) |
United | 45382 | $479.73 | 1467415851 - PAUL HIERHOLZER | 223609393 | NJ | Internal Medicine Physician (207R00000X) |
United | 45382 | $529.30 | 1487774543 - DHIRENDRA PATEL | 200488286 | NJ | Internal Medicine Physician (207R00000X) |
United | 45382 | $1344.01 | 1174935811 - ROBIN MUKHERJEE | 223741339 - (NJ) RARITAN FAMILY HEALTHCARE PA | NJ | Internal Medicine Physician (207R00000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 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 |
|---|---|---|
| 45330-CPT | Low | Sigmoidoscopy Flexible; Diagnostic Including Collection Of Specimen(S) By Brushing Or Washing When Performed (Separate Procedure) (Desc Revised 01/01/15) |
| 45334-CPT | Moderate | Sigmoidoscopy Flexible; With Control Of Bleeding Any Method (Desc Revised 01/01/15) Laser Heater Probe Stapler Plasma Coagulator) |
| 45346-CPT | High | Sigmoidoscopy, Flexible; Diagnostic, Including Collection Of Specimen(S) By Brushing Or Washing, When Performed With Ablation Of Tumor(S), Polyp(S), Or Other Lesions(S) Includ |
| 45382-CPT | Moderate | Colonoscopy Flexible With Control Of Bleeding Any Method (Desc Revised 01/01/15) Cautery Unipolar Cautery Laser Heater Probe Stapler Plasma Coagulator) |
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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