45110 Removal of rectum
Also known as: total proctectomy, abdominoperineal resection, APR
Total proctectomy via open transabdominal or abdominoperineal approach for removal of entire rectum in treatment of malignancy or disease.
Clinical Context
Used for rectal cancer, familial adenomatous polyposis, or inflammatory bowel disease when lower anastomosis is not feasible, resulting in permanent colostomy.
RVU Breakdown
| Work RVU | 29.99 |
| Practice Expense RVU | 14.55 |
| Malpractice RVU | 5.53 |
| Total RVU | 50.07 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Specialties
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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.