45135 Excision of rectal prolapse
Also known as: perineal proctosigmoidectomy, Altemeier procedure, perineal prolapse repair
Excision of rectal prolapse by perineal approach (Altemeier procedure), removing prolapsed rectal tissue via circumferential excision through the perineum.
Clinical Context
Preferred for elderly or infirm patients with full-thickness rectal prolapse, offering reduced morbidity compared to abdominal approach despite higher recurrence.
RVU Breakdown
| Work RVU | 21.80 |
| Practice Expense RVU | 10.88 |
| Malpractice RVU | 3.13 |
| Total RVU | 35.81 |
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.