45112 Removal of rectum
Also known as: proctectomy with pouch, colonic pouch creation, J-pouch
Total proctectomy with colonic pouch creation for rectal cancer or disease requiring removal of entire rectum with intestinal reconstruction.
Clinical Context
Used for total proctectomy in younger patients when sphincter preservation and gut continuity is desired via colonic pouch reconstruction.
RVU Breakdown
| Work RVU | 32.35 |
| Practice Expense RVU | 12.11 |
| Malpractice RVU | 4.66 |
| Total RVU | 49.12 |
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.