45123 Partial proctectomy
Also known as: low anterior resection, partial rectal resection, LAR
Partial proctectomy (removal of portion of rectum) with sphincter preservation, typically through low anterior resection technique.
In Plain Language
partial removal of rectum; lower rectum removal; sphincter-saving rectal surgery
Clinical Context
Used for mid-to-distal rectal cancer, benign rectal pathology, or inflammatory conditions requiring partial rectal resection while maintaining bowel continuity.
RVU Breakdown
| Work RVU | 18.39 |
| Total RVU | 18.39 |
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 18.39, this code ranks in the 80th percentile among Surgery codes — 2.3x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 45123?
CPT 45123 (Partial proctectomy) is a Surgery code. Partial proctectomy (removal of portion of rectum) with sphincter preservation, typically through low anterior resection technique.
What is the wRVU value for CPT 45123?
The work RVU for CPT 45123 is 18.39. This code is primarily used by Colorectal Surgery, General Surgery, Oncologic Surgery. It has a 90-day global period.
When is CPT 45123 used?
Used for mid-to-distal rectal cancer, benign rectal pathology, or inflammatory conditions requiring partial rectal resection while maintaining bowel continuity.
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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.