45116 Partial removal of rectum
Also known as: partial proctectomy with mobilization, extended LAR
Partial proctectomy via open approach with mobilization and possible creation of continent reservoir for distal rectal cancer with sphincter preservation intent.
In Plain Language
surgery to remove part of rectum with careful dissection
Clinical Context
Used for distal rectal cancer when adequate distal margin cannot be achieved without more extensive dissection and mobilization of colon.
RVU Breakdown
| Work RVU | 27.03 |
| Total RVU | 27.03 |
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 27.03, this code ranks in the 91st percentile among Surgery codes — 3.4x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 45116?
CPT 45116 (Partial removal of rectum) is a Surgery code. Partial proctectomy via open approach with mobilization and possible creation of continent reservoir for distal rectal cancer with sphincter preservation intent.
What is the wRVU value for CPT 45116?
The work RVU for CPT 45116 is 27.03. This code is primarily used by Colorectal Surgery, Oncology. It has a 90-day global period.
When is CPT 45116 used?
Used for distal rectal cancer when adequate distal margin cannot be achieved without more extensive dissection and mobilization of colon.
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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.