45332 Sigmoidoscopy w/fb removal
What 45332 is
CMS fee schedule short descriptor: Sigmoidoscopy w/fb removal.
Full CPT long descriptions are licensed by the American Medical Association and are not published on this site; the short descriptor above is the one CMS prints in its own fee schedule file. See About CPT.
Medicare payment for 45332 (CY2026)
| Work RVU | Practice expense RVU | Malpractice RVU | Total | Medicare rate | |
|---|---|---|---|---|---|
| Non-facility (office) | 1.72 | 7.43 | 0.22 | 9.37 | $312.97 |
| Facility (hospital, ASC) | 1.72 | 0.93 | 0.22 | 2.87 | $95.86 |
National rates: total RVUs x the CY2026 conversion factor of 33.4009 (non-QP), before geographic adjustment. Actual Medicare payment is 80% of the rate shown after the deductible; the patient or secondary payer owes the 20% coinsurance.
Status: Active - payable under the Physician Fee Schedule. Global period: Global concept does not apply (endoscopic or minor procedure: global period is the day of the procedure).
Medically Unlikely Edit (MUE)
Medicare caps 45332 at 1 unit per date of service for practitioner claims (MAI 3 - date of service edit (clinical): units above the MUE may pay with documentation on appeal), rationale: Anatomic Consideration. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.
Billed with 45332? These codes are bundled into it
45332 is a Column 1 code in 288 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.
| Column 2 code | Short description | Modifier indicator | |
|---|---|---|---|
00731 | Anes upr gi ndsc px nos | 0 - no modifier bypass | Check pair |
00732 | Anes upr gi ndsc px ercp | 0 - no modifier bypass | Check pair |
00811 | Anes lwr intst ndsc nos | 0 - no modifier bypass | Check pair |
00812 | Anes lwr intst scr colsc | 0 - no modifier bypass | Check pair |
00813 | Anes upr lwr gi ndsc px | 0 - no modifier bypass | Check pair |
0184T | Exc rectal tumor endoscopic | 0 - no modifier bypass | Check pair |
0213T | Njx paravert w/us cer/thor | 0 - no modifier bypass | Check pair |
0216T | Njx paravert w/us lumb/sac | 0 - no modifier bypass | Check pair |
0596T | Temp fml iu vlv-pmp 1st insj | 1 - modifier may bypass | Check pair |
0597T | Temp fml iu valve-pmp rplcmt | 1 - modifier may bypass | Check pair |
0632T | Perq tcat us abltj nrv p-art | 1 - modifier may bypass | Check pair |
0708T | Id ca immntx prep & 1st njx | 1 - modifier may bypass | Check pair |
0709T | Id ca immntx each addl njx | 1 - modifier may bypass | Check pair |
0903T | Ecg alg 12 lead reduced i&r | 1 - modifier may bypass | Check pair |
0904T | Ecg alg 12 ld rdcd trcg only | 1 - modifier may bypass | Check pair |
0905T | Ecg alg 12 ld rdcd i&r only | 1 - modifier may bypass | Check pair |
11000 | Dbrdmt ecz/infected skin<10% | 1 - modifier may bypass | Check pair |
11001 | Dbrdmt ecz/infct skn ea addl | 1 - modifier may bypass | Check pair |
11004 | Dbrdmt skin xtrnl gent&per | 1 - modifier may bypass | Check pair |
11005 | Dbrdmt skin abdominal wall | 1 - modifier may bypass | Check pair |
11006 | Dbrdmt skin xtrnl gent per | 1 - modifier may bypass | Check pair |
11042 | Dbrdmt subq tis 1st 20sqcm/< | 1 - modifier may bypass | Check pair |
11043 | Dbrdmt musc&/fsca 1st 20/< | 1 - modifier may bypass | Check pair |
11044 | Dbrdmt bone 1st 20 sq cm/< | 1 - modifier may bypass | Check pair |
11045 | Dbrdmt subq tiss each addl | 1 - modifier may bypass | Check pair |
11046 | Dbrdmt musc&/fsca ea addl | 1 - modifier may bypass | Check pair |
11047 | Dbrdmt bone each addl | 1 - modifier may bypass | Check pair |
12001 | Rpr s/n/ax/gen/trnk 2.5cm/< | 1 - modifier may bypass | Check pair |
12002 | Rpr s/n/ax/gen/trnk2.6-7.5cm | 1 - modifier may bypass | Check pair |
12004 | Rpr s/n/ax/gen/trk7.6-12.5cm | 1 - modifier may bypass | Check pair |
Showing 30 of 288 column 2 codes. Use the pair checker for any specific combination.
45332 is bundled into these codes
45332 appears as a Column 2 code in 19 active edits. Reported with one of these Column 1 codes on the same date of service, 45332 is the code that denies.
| Column 1 code | Short description | Modifier indicator | |
|---|---|---|---|
0885T | Colsc flx 1st tndsc dilat | 1 | Check pair |
45378 | Diagnostic colonoscopy | 0 | Check pair |
45379 | Colonoscopy w/fb removal | 0 | Check pair |
45380 | Colonoscopy and biopsy | 0 | Check pair |
45381 | Colonoscopy submucous njx | 0 | Check pair |
45382 | Colonoscopy w/control bleed | 0 | Check pair |
45384 | Colonoscopy w/lesion removal | 0 | Check pair |
45385 | Colonoscopy w/lesion removal | 0 | Check pair |
45386 | Colonoscopy w/balloon dilat | 1 | Check pair |
45388 | Colonoscopy w/ablation | 0 | Check pair |
45389 | Colonoscopy w/stent plcmt | 0 | Check pair |
45390 | Colonoscopy w/resection | 0 | Check pair |
45391 | Colonoscopy w/endoscope us | 0 | Check pair |
45392 | Colonoscopy w/endoscopic fnb | 0 | Check pair |
45393 | Colonoscopy w/decompression | 0 | Check pair |
Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.