45119 Remove rectum with reservoir
Also known as: total proctectomy with pouch, IPAA, J-pouch surgery
Total proctectomy (complete removal of the rectum) with construction of a colonic pouch reservoir, typically performed for inflammatory bowel disease or familial adenomatous polyposis.
Clinical Context
Used for ulcerative colitis, familial adenomatous polyposis, or familial polyposis requiring complete rectal removal with continence restoration through ileal pouch-anal anastomosis.
RVU Breakdown
| Work RVU | 32.64 |
| Practice Expense RVU | 13.77 |
| Malpractice RVU | 4.71 |
| Total RVU | 51.12 |
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.