45136 Excise ileoanal reservior
Also known as: J-pouch excision, ileoanal reservoir takedown, pouch removal
Excision of ileoanal reservoir (J-pouch), typically performed for pouch failure, malignancy, or severe complications following prior IPAA construction.
Clinical Context
Indicated for pouch failure with intractable inflammation, dysplasia/malignancy development, or severe septic complications that preclude salvage attempts.
RVU Breakdown
| Work RVU | 30.05 |
| Practice Expense RVU | 14.58 |
| Malpractice RVU | 4.32 |
| Total RVU | 48.95 |
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.