45113 Partial proctectomy
Also known as: partial proctectomy with pouch, colonic pouch LAR
Partial proctectomy with colonic pouch creation for preservation of colorectal or coloanal continuity in distal rectal cancer.
In Plain Language
surgery to remove part of rectum with pouch creation
Clinical Context
Used for distal rectal cancer in younger patients when sphincter preservation is desired and proximal rectum is adequate for pouch construction.
RVU Breakdown
| Work RVU | 32.39 |
| Total RVU | 32.39 |
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 32.39, this code ranks in the 94th percentile among Surgery codes — 4.1x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 45113?
CPT 45113 (Partial proctectomy) is a Surgery code. Partial proctectomy with colonic pouch creation for preservation of colorectal or coloanal continuity in distal rectal cancer.
What is the wRVU value for CPT 45113?
The work RVU for CPT 45113 is 32.39. This code is primarily used by Colorectal Surgery, Oncology. It has a 90-day global period.
When is CPT 45113 used?
Used for distal rectal cancer in younger patients when sphincter preservation is desired and proximal rectum is adequate for pouch construction.
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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.