Medicare Physician Fee Schedule · Q3 2026 release
CPT 45380 in Long Island, NY
A colonoscopy during which one or more tissue samples are taken by biopsy. It builds on the diagnostic examination by adding tissue sampling.
Medicare pays, Office (non-facility) setting, in Long Island, NY
$565.57
Before the ~2% sequestration cut. Q3 2026 Physician Fee Schedule.
Local vs. national amount
Long Island, NY pays above the national baseline by 17.8%, driven by this locality's GPCIs.
Facility setting
In a facility (e.g. hospital outpatient), Long Island, NY pays $206.16 for 45380.
ZIP codes in this locality
This payment locality covers 440 ZIP codes, including 00501, 00544, 06390, 10301, 10302, 10303, 10304, 10305, 10306, 10307, 10308, 10309 and others . Every ZIP in this locality is priced the same under the Physician Fee Schedule.