# CPT 45381: Colsc Flx With Directed Submucosal Njx Any Sbst

Medicare CPT 45381 pays $490.33 in a non-facility setting and $177.69 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $432.71 in Arkansas to $565.40 in Alaska, a 31% spread.

Web page: https://www.med-reveal.com/rates/45381-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Gastroenterology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $490.33 |
| National facility | $177.69 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $565.40 | $232.45 |
| District of Columbia | $562.32 | $194.04 |
| California | $554.11 | $184.18 |
| New Jersey | $542.86 | $190.84 |
| New York | $542.53 | $193.75 |
| Washington | $541.47 | $185.07 |
| Massachusetts | $535.94 | $184.70 |
| Hawaii | $533.79 | $178.33 |
| Connecticut | $523.34 | $186.63 |
| Colorado | $511.71 | $179.07 |
| Maryland | $508.24 | $182.32 |
| Oregon | $506.66 | $177.30 |
| Florida | $504.81 | $191.13 |
| New Hampshire | $503.35 | $177.90 |
| Rhode Island | $502.91 | $179.96 |
| Puerto Rico | $494.08 | $178.01 |
| Virgin Islands | $494.08 | $178.01 |
| Illinois | $491.35 | $189.27 |
| Minnesota | $490.90 | $169.20 |
| Montana | $490.30 | $177.66 |
| Nevada | $488.34 | $175.40 |
| Wyoming | $486.68 | $174.05 |
| Delaware | $485.16 | $176.28 |
| Pennsylvania | $484.95 | $178.72 |
| Texas | $484.38 | $176.59 |
| North Dakota | $481.99 | $169.36 |
| South Dakota | $481.01 | $168.38 |
| Virginia | $480.07 | $172.76 |
| Vermont | $479.79 | $170.29 |
| Arizona | $477.13 | $174.19 |
| Georgia | $476.68 | $178.43 |
| Michigan | $474.05 | $180.50 |
| Maine | $469.05 | $170.33 |
| Utah | $467.27 | $173.40 |
| Wisconsin | $465.48 | $165.98 |
| New Mexico | $463.23 | $176.55 |
| North Carolina | $461.11 | $169.43 |
| South Carolina | $460.83 | $171.96 |
| Missouri | $460.43 | $173.54 |
| Louisiana | $459.63 | $174.20 |
| Ohio | $459.08 | $173.65 |
| Indiana | $456.81 | $167.00 |
| Idaho | $454.10 | $166.48 |
| Nebraska | $453.85 | $165.29 |
| Iowa | $451.23 | $165.17 |
| Tennessee | $451.03 | $166.85 |
| West Virginia | $449.16 | $177.48 |
| Kentucky | $449.13 | $171.20 |
| Kansas | $448.77 | $166.15 |
| Oklahoma | $448.63 | $169.45 |
| Alabama | $439.19 | $165.63 |
| Mississippi | $436.57 | $167.39 |
| Arkansas | $432.71 | $164.15 |

## Related codes

- 10140: I&d Hematoma Seroma/fluid Collection — https://www.med-reveal.com/rates/10140-cpt-fee-schedule
- 11055: Paring/cutting Benign Hyperkeratotic Lesion 1 — https://www.med-reveal.com/rates/11055-cpt-fee-schedule
- 11056: Paring/cutting Benign Hyperkeratotic Lesion 2-4 — https://www.med-reveal.com/rates/11056-cpt-fee-schedule
- 11057: Paring/cutting Benign Hyperkeratotic Lesion >4 — https://www.med-reveal.com/rates/11057-cpt-fee-schedule
- 11403: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 2.1-3.0 Cm — https://www.med-reveal.com/rates/11403-cpt-fee-schedule
- 11404: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 3.1-4.0 Cm — https://www.med-reveal.com/rates/11404-cpt-fee-schedule
- 11406: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l >4.0 Cm — https://www.med-reveal.com/rates/11406-cpt-fee-schedule
- 11603: Excision Mal Lesion Trunk/arm/leg 2.1-3.0 Cm — https://www.med-reveal.com/rates/11603-cpt-fee-schedule

Commercial negotiated rates for 45381 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules