45120 Removal of rectum
Also known as: total proctectomy, Miles operation, abdominoperineal resection variant
Total proctectomy (complete removal of the rectum) without pouch construction or anastomosis, typically requiring permanent colostomy.
Clinical Context
Performed for rectal cancer, severe inflammatory bowel disease, or familial polyposis when sphincter preservation is not possible or desired.
RVU Breakdown
| Work RVU | 25.74 |
| Practice Expense RVU | 12.24 |
| Malpractice RVU | 6.87 |
| Total RVU | 44.85 |
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.