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.
In Plain Language
surgery to remove rectum with creation of bowel pouch
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 |
| Total RVU | 32.35 |
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 32.35, this code ranks in the 94th percentile among Surgery codes — 4.0x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 45112?
CPT 45112 (Removal of rectum) is a Surgery code. Total proctectomy with colonic pouch creation for rectal cancer or disease requiring removal of entire rectum with intestinal reconstruction.
What is the wRVU value for CPT 45112?
The work RVU for CPT 45112 is 32.35. This code is primarily used by Colorectal Surgery, Oncology. It has a 90-day global period.
When is CPT 45112 used?
Used for total proctectomy in younger patients when sphincter preservation and gut continuity is desired via colonic pouch reconstruction.
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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.