45130 Excision of rectal prolapse
Also known as: abdominal rectopexy, sacral rectopexy, transabdominal prolapse repair
Excision of rectal prolapse by abdominal approach (transabdominal proctopexia), elevating and anchoring the prolapsed rectum to the sacral fascia.
In Plain Language
internal rectal tissue repair; abdominal fixing of protruding rectum; prolapsed rectum repair from abdomen
Clinical Context
Used for full-thickness rectal prolapse unresponsive to conservative management, particularly in younger patients requiring restoration of normal anatomy and continence.
RVU Breakdown
| Work RVU | 18.04 |
| Total RVU | 18.04 |
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 18.04, this code ranks in the 79th 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 45130?
CPT 45130 (Excision of rectal prolapse) is a Surgery code. Excision of rectal prolapse by abdominal approach (transabdominal proctopexia), elevating and anchoring the prolapsed rectum to the sacral fascia.
What is the wRVU value for CPT 45130?
The work RVU for CPT 45130 is 18.04. This code is primarily used by Colorectal Surgery, General Surgery, Pelvic Floor Surgery. It has a 90-day global period.
When is CPT 45130 used?
Used for full-thickness rectal prolapse unresponsive to conservative management, particularly in younger patients requiring restoration of normal anatomy and continence.
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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.