45171 excision rectal tumor transanal part
Also known as: transanal endoscopic microsurgery, TEM partial, endoscopic rectal excision
Excision of rectal tumor via transanal endoscopic microsurgery (partial resection), removing selected lesions through the anus using operating microscope.
In Plain Language
minimally invasive rectal tumor removal through anus; laser or cautery tumor removal; ultrasound-guided rectal tumor removal
Clinical Context
Indicated for early rectal cancers (T1), benign polyps, or lesions in the mid-to-distal rectum unsuitable for endoscopic polypectomy but not requiring full proctectomy.
RVU Breakdown
| Work RVU | 7.93 |
| Total RVU | 7.93 |
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 7.93, this code ranks in the 50th percentile among Surgery codes — 1.0x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 45171?
CPT 45171 (excision rectal tumor transanal part) is a Surgery code. Excision of rectal tumor via transanal endoscopic microsurgery (partial resection), removing selected lesions through the anus using operating microscope.
What is the wRVU value for CPT 45171?
The work RVU for CPT 45171 is 7.93. This code is primarily used by Colorectal Surgery, General Surgery, Minimally Invasive Surgery. It has a 90-day global period.
When is CPT 45171 used?
Indicated for early rectal cancers (T1), benign polyps, or lesions in the mid-to-distal rectum unsuitable for endoscopic polypectomy but not requiring full proctectomy.
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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.