45172 excision rectal tumor transanal full
Also known as: transanal endoscopic microsurgery full-thickness, TEM full-thickness, endoscopic full-thickness resection
Excision of rectal tumor via transanal endoscopic microsurgery (full-thickness resection), removing entire lesion through full-thickness of rectal wall.
In Plain Language
complete rectal tumor removal through anus with all layers; deep endoscopic tumor removal; full-thickness lesion excision from inside
Clinical Context
Used for T1-T2 rectal cancers or benign lesions requiring complete full-thickness wall excision via transanal approach to achieve adequate margins.
RVU Breakdown
| Work RVU | 11.83 |
| Total RVU | 11.83 |
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 11.83, this code ranks in the 64th percentile among Surgery codes — 1.5x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 45172?
CPT 45172 (excision rectal tumor transanal full) is a Surgery code. Excision of rectal tumor via transanal endoscopic microsurgery (full-thickness resection), removing entire lesion through full-thickness of rectal wall.
What is the wRVU value for CPT 45172?
The work RVU for CPT 45172 is 11.83. This code is primarily used by Colorectal Surgery, Surgical Oncology, General Surgery. It has a 90-day global period.
When is CPT 45172 used?
Used for T1-T2 rectal cancers or benign lesions requiring complete full-thickness wall excision via transanal approach to achieve adequate margins.
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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.