45005 Drainage of rectal abscess
Also known as: rectal abscess drainage, perirectal abscess drainage
Drainage of rectal abscess via open surgical approach for treatment of perirectal abscess or intramural rectal abscess.
In Plain Language
surgery to drain infection from rectum
Clinical Context
Used for rectal or perirectal abscess from anal fissure, hemorrhoid, or cryptoglandular source. Often requires incision under anesthesia.
RVU Breakdown
| Work RVU | 1.97 |
| Total RVU | 1.97 |
Est. Medicare Payment
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 10-day global period — follow-up visits within 10 days of the procedure are included in the reimbursement. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 1.97, this code ranks in the 14th percentile among Surgery codes — 4.1x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 45005?
CPT 45005 (Drainage of rectal abscess) is a Surgery code. Drainage of rectal abscess via open surgical approach for treatment of perirectal abscess or intramural rectal abscess.
What is the wRVU value for CPT 45005?
The work RVU for CPT 45005 is 1.97. This code is primarily used by Colorectal Surgery, General Surgery. It has a 10-day global period.
When is CPT 45005 used?
Used for rectal or perirectal abscess from anal fissure, hemorrhoid, or cryptoglandular source. Often requires incision under anesthesia.
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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.