45111 Partial removal of rectum
Also known as: partial proctectomy, low anterior resection, LAR
Partial proctectomy via open approach removing distal rectum but preserving proximal rectum with anastomosis to restore continuity.
In Plain Language
surgery to remove lower part of rectum with reconnection
Clinical Context
Used for distal rectal cancer when adequate distal margin can be achieved and sphincter preservation is feasible. Allows restoration of continuity.
RVU Breakdown
| Work RVU | 17.56 |
| Total RVU | 17.56 |
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 17.56, this code ranks in the 78th percentile among Surgery codes — 2.2x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 45111?
CPT 45111 (Partial removal of rectum) is a Surgery code. Partial proctectomy via open approach removing distal rectum but preserving proximal rectum with anastomosis to restore continuity.
What is the wRVU value for CPT 45111?
The work RVU for CPT 45111 is 17.56. This code is primarily used by Colorectal Surgery, Oncology. It has a 90-day global period.
When is CPT 45111 used?
Used for distal rectal cancer when adequate distal margin can be achieved and sphincter preservation is feasible. Allows restoration of continuity.
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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.