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45160 Excision of rectal lesion

Surgery Global 90d

Also known as: rectal lesion excision, rectal tumor excision, full-thickness rectal excision

Excision of benign or malignant rectal lesion, performed through full-thickness rectal wall excision for localized disease.

In Plain Language

surgical removal of abnormal rectal tissue; tumor or growth removal from rectum; rectal lesion resection

Clinical Context

Applied to early rectal cancers (T1-T2) amenable to local excision, benign lesions (polyps, adenomas), or strictures requiring definitive excision.

RVU Breakdown

Work RVU15.92
Total RVU15.92

Est. Medicare Payment

$531.73

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 15.92, this code ranks in the 75th percentile among Surgery codes — 2.0x the median (8.00). The highest wRVU in this category is 106.19.

Specialties

Colorectal SurgerySurgical OncologyGeneral Surgery

Frequently Asked Questions

What is CPT code 45160?

CPT 45160 (Excision of rectal lesion) is a Surgery code. Excision of benign or malignant rectal lesion, performed through full-thickness rectal wall excision for localized disease.

What is the wRVU value for CPT 45160?

The work RVU for CPT 45160 is 15.92. This code is primarily used by Colorectal Surgery, Surgical Oncology, General Surgery. It has a 90-day global period.

When is CPT 45160 used?

Applied to early rectal cancers (T1-T2) amenable to local excision, benign lesions (polyps, adenomas), or strictures requiring definitive excision.

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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.