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.
In Plain Language
surgery to remove entire rectum
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 |
| Total RVU | 29.99 |
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 29.99, this code ranks in the 93rd percentile among Surgery codes — 3.8x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 45110?
CPT 45110 (Removal of rectum) is a Surgery code. Total proctectomy via open transabdominal or abdominoperineal approach for removal of entire rectum in treatment of malignancy or disease.
What is the wRVU value for CPT 45110?
The work RVU for CPT 45110 is 29.99. This code is primarily used by Colorectal Surgery, Oncology. It has a 90-day global period.
When is CPT 45110 used?
Used for rectal cancer, familial adenomatous polyposis, or inflammatory bowel disease when lower anastomosis is not feasible, resulting in permanent colostomy.
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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.