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.
In Plain Language
removal of surgically created intestinal pouch; takedown of connection between small intestine and anus; pouch reconstruction reversal
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 |
| Total RVU | 30.05 |
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 30.05, this code ranks in the 93rd percentile among Surgery codes — 3.8x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 45136?
CPT 45136 (Excise ileoanal reservior) is a Surgery code. Excision of ileoanal reservoir (J-pouch), typically performed for pouch failure, malignancy, or severe complications following prior IPAA construction.
What is the wRVU value for CPT 45136?
The work RVU for CPT 45136 is 30.05. This code is primarily used by Colorectal Surgery, General Surgery, Gastrointestinal Surgery. It has a 90-day global period.
When is CPT 45136 used?
Indicated for pouch failure with intractable inflammation, dysplasia/malignancy development, or severe septic complications that preclude salvage attempts.
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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.