45020 Drainage of rectal abscess
Also known as: rectal abscess drainage complex, extensive perirectal drainage
Drainage of rectal abscess via open surgical approach with more extensive dissection or drainage of multiple loculations.
In Plain Language
extensive surgery to drain rectal infection
Clinical Context
Used for complex rectal abscesses with multiple loculations or extensive spread requiring more extensive dissection and drainage.
RVU Breakdown
| Work RVU | 8.35 |
| Total RVU | 8.35 |
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 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 8.35, this code ranks in the 52nd percentile among Surgery codes — 1.0x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 45020?
CPT 45020 (Drainage of rectal abscess) is a Surgery code. Drainage of rectal abscess via open surgical approach with more extensive dissection or drainage of multiple loculations.
What is the wRVU value for CPT 45020?
The work RVU for CPT 45020 is 8.35. This code is primarily used by Colorectal Surgery, General Surgery. It has a 90-day global period.
When is CPT 45020 used?
Used for complex rectal abscesses with multiple loculations or extensive spread requiring more extensive dissection and drainage.
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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.