45126 Pelvic exenteration
Also known as: pelvic exenteration with proctectomy, total pelvic clearance, anterior/posterior pelvic exenteration
Pelvic exenteration including proctectomy, performed to remove rectum and surrounding pelvic organs (bladder, prostate/uterus) en bloc for advanced malignancy.
Clinical Context
Reserved for locally advanced pelvic malignancies (rectal, bladder, or gynecologic cancers) that are locally invasive and potentially curable by complete en bloc resection.
RVU Breakdown
| Work RVU | 47.87 |
| Practice Expense RVU | 18.16 |
| Malpractice RVU | 8.30 |
| Total RVU | 74.33 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Specialties
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against MGMA data — all in one app.
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.