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45378 Diagnostic colonoscopy

Surgery Global 0d

Also known as: colonoscopy, full colonoscopy, colon scope, colonoscopy diagnostic, screening colonoscopy

Diagnostic colonoscopy (visual examination of entire colon from cecum to rectum) without therapeutic intervention.

In Plain Language

camera examination of entire large intestine; colon screening test; full bowel examination

Clinical Context

Performed for colorectal cancer screening, evaluation of anemia, chronic diarrhea, constipation, abnormal imaging, or family history of colorectal disease.

RVU Breakdown

Work RVU3.18
Total RVU3.18

Est. Medicare Payment

$106.21

National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).

Billing & Documentation

As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 0-day global period, meaning pre- and post-operative E&M visits are billable separately on the same day. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.

How This Code Compares

With a work RVU of 3.18, this code ranks in the 22nd percentile among Surgery codes — 2.5x below the median (8.00). The highest wRVU in this category is 106.19.

Specialties

Colorectal SurgeryGastroenterologyGeneral Surgery

Frequently Asked Questions

What is CPT code 45378?

CPT 45378 (Diagnostic colonoscopy) is a Surgery code. Diagnostic colonoscopy (visual examination of entire colon from cecum to rectum) without therapeutic intervention.

What is the wRVU value for CPT 45378?

The work RVU for CPT 45378 is 3.18. This code is primarily used by Colorectal Surgery, Gastroenterology, General Surgery.

When is CPT 45378 used?

Performed for colorectal cancer screening, evaluation of anemia, chronic diarrhea, constipation, abnormal imaging, or family history of colorectal disease.

Track This Code in RVU Edge

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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.