# CPT 45384: Colsc Flx W/removal Lesion By Hot Bx Forceps

Medicare CPT 45384 pays $539.42 in a non-facility setting and $203.41 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $475.05 in Arkansas to $621.70 in Alaska, a 31% spread.

Web page: https://www.med-reveal.com/rates/45384-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Gastroenterology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $539.42 |
| National facility | $203.41 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $621.70 | $263.84 |
| District of Columbia | $617.68 | $221.85 |
| California | $605.68 | $208.08 |
| New York | $597.71 | $222.85 |
| New Jersey | $596.63 | $218.28 |
| Washington | $593.41 | $210.35 |
| Massachusetts | $587.74 | $210.23 |
| Hawaii | $583.79 | $201.74 |
| Connecticut | $576.11 | $214.23 |
| Colorado | $561.29 | $203.77 |
| Florida | $560.00 | $222.87 |
| Maryland | $559.16 | $208.86 |
| Oregon | $555.53 | $201.54 |
| New Hampshire | $552.72 | $202.93 |
| Rhode Island | $552.50 | $205.39 |
| Illinois | $545.41 | $220.74 |
| Puerto Rico | $543.37 | $203.66 |
| Virgin Islands | $543.37 | $203.66 |
| Montana | $539.38 | $203.37 |
| Nevada | $536.41 | $200.06 |
| Minnesota | $536.29 | $190.53 |
| Wyoming | $534.13 | $198.11 |
| Pennsylvania | $534.11 | $204.98 |
| Delaware | $533.39 | $201.41 |
| Texas | $532.71 | $201.91 |
| North Dakota | $527.32 | $191.31 |
| Virginia | $526.86 | $196.56 |
| South Dakota | $525.90 | $189.88 |
| Georgia | $525.85 | $205.30 |
| Vermont | $525.50 | $192.84 |
| Arizona | $524.51 | $198.91 |
| Michigan | $524.16 | $208.64 |
| Maine | $514.62 | $193.56 |
| Utah | $514.16 | $198.31 |
| New Mexico | $511.44 | $203.32 |
| Wisconsin | $509.09 | $187.19 |
| Missouri | $507.29 | $198.94 |
| South Carolina | $507.00 | $196.52 |
| Louisiana | $506.77 | $199.99 |
| North Carolina | $506.18 | $192.68 |
| Ohio | $505.97 | $199.19 |
| Indiana | $500.74 | $189.26 |
| Idaho | $497.77 | $188.64 |
| West Virginia | $497.58 | $205.59 |
| Nebraska | $497.00 | $186.85 |
| Tennessee | $494.82 | $189.39 |
| Kentucky | $494.80 | $196.08 |
| Iowa | $494.29 | $186.84 |
| Oklahoma | $493.53 | $193.47 |
| Kansas | $492.22 | $188.46 |
| Alabama | $482.28 | $188.26 |
| Mississippi | $480.39 | $191.08 |
| Arkansas | $475.05 | $186.42 |

## 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 45384 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