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.
In Plain Language
removal of rectum and surrounding pelvic organs; extensive pelvic cancer surgery; pelvic organ removal
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 |
| Total RVU | 47.87 |
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 47.87, this code ranks in the 99th percentile among Surgery codes — 6.0x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 45126?
CPT 45126 (Pelvic exenteration) is a Surgery code. Pelvic exenteration including proctectomy, performed to remove rectum and surrounding pelvic organs (bladder, prostate/uterus) en bloc for advanced malignancy.
What is the wRVU value for CPT 45126?
The work RVU for CPT 45126 is 47.87. This code is primarily used by Colorectal Surgery, Gynecologic Oncology, Surgical Oncology. It has a 90-day global period.
When is CPT 45126 used?
Reserved for locally advanced pelvic malignancies (rectal, bladder, or gynecologic cancers) that are locally invasive and potentially curable by complete en bloc resection.
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.