45391 Colonoscopy with endoscope ultrasound
Surgery
Global 0d
Also known as: colonoscopy with ultrasound, colon EUS
Colonoscopy with endoscopic ultrasound (EUS) evaluation for assessment of lesions or layer invasion.
Clinical Context
Used to evaluate depth of invasion of colonic lesions, assess wall layers, guide fine-needle aspiration, or evaluate submucosal pathology.
RVU Breakdown
| Work RVU | 4.52 |
| Practice Expense RVU | 1.76 |
| Malpractice RVU | 0.49 |
| Total RVU | 6.77 |
Est. Medicare Payment
$226.12
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Specialties
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against MGMA data — all in one app.
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.