45108 Anorectal myomectomy
Also known as: transanal myomectomy, myotomy rectum
Anorectal myomectomy or myotomy via transanal approach for resection or division of muscularis propria for treatment of anorectal disorders.
In Plain Language
surgery to remove or divide muscle of rectum and anus
Clinical Context
Used for treatment of achalasia-type disorders of anorectum or select cases of fecal incontinence. Rarely performed.
RVU Breakdown
| Work RVU | 4.99 |
| Total RVU | 4.99 |
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 4.99, this code ranks in the 34th percentile among Surgery codes — 1.6x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 45108?
CPT 45108 (Anorectal myomectomy) is a Surgery code. Anorectal myomectomy or myotomy via transanal approach for resection or division of muscularis propria for treatment of anorectal disorders.
What is the wRVU value for CPT 45108?
The work RVU for CPT 45108 is 4.99. This code is primarily used by Colorectal Surgery. It has a 90-day global period.
When is CPT 45108 used?
Used for treatment of achalasia-type disorders of anorectum or select cases of fecal incontinence. Rarely performed.
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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.