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See a sample rate comparisonCPT 45393 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 W Decompression, Colonoscopy Flexible With Decompression For Pathologic Distention Eg Volvulus Megacolon Including Placement Of Decompression Tube When Performed
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 21 - Inpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None 52 - Reduced Services 53 - Discontinued procedure |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 45393 |
| Medicaid Fee Schedule | View Medicaid rates for 45393 |
National average reimbursement for CPT 45393 by major payers:
$346.09
$355.88
$385.25
$448.36
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CPT 45393
5 of 25 sample ratesHigher to lower in this preview
Froedtert Surgery Center, LLC
$3,442.00Published rateSummit Ambulatory Surgical Center, LLC
$1,276.00Published rateFourth Corner Neurosurgical Associates Inc Ps, Cascade Outpatient Spine Center
Fourth Corner Neurosurgical Associates, Inc.
$920.00Published rateKuresmart Pain Management Surgery Center-Catonsville LLC, Clearway Surgery Center Of Catonsville
Kuresmart Pain Management Surgery Centercatonsville LLC
$611.00Published rateMaryland Endoscopy Center LLC, Maryland Endoscopy Center
Maryland Endoscopy Center, LLC.
$414.00Published rate
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See a sample payer proposalCPT 45393 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 45393 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 45393 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 |
|---|---|---|
| 45337-CPT | Low | Sigmoidoscopy Decompress, Sigmoidoscopy Flexible With Decompression For Pathologic Distention Eg Volvulus Megacolon Including Placement Of Decompression Tube When Performed |
| 45349-CPT | Moderate | Sigmoidoscopy, Flexible; Diagnostic, Including Collection Of Specimen(S) By Brushing Or Washing, When Performed With Endoscopic Mucosal Resection. |
| 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 45393. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 45393 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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