45190 Destruction rectal tumor
Also known as: rectal tumor ablation, electrofulguration of rectal tumor, rectal tumor destruction
Destruction of rectal tumor via electrocautery, laser, cryotherapy, or chemical means, performed endoscopically without formal excision.
In Plain Language
burning or freezing of rectal cancer or tumor; heat or cold treatment of rectal lesion; rectal tumor destruction
Clinical Context
Employed for palliation of obstructing rectal cancers, steroid-resistant bleeding polyps, or recurrent benign lesions when excision is not feasible.
RVU Breakdown
| Work RVU | 10.16 |
| Total RVU | 10.16 |
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 10.16, this code ranks in the 59th percentile among Surgery codes — 1.3x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 45190?
CPT 45190 (Destruction rectal tumor) is a Surgery code. Destruction of rectal tumor via electrocautery, laser, cryotherapy, or chemical means, performed endoscopically without formal excision.
What is the wRVU value for CPT 45190?
The work RVU for CPT 45190 is 10.16. This code is primarily used by Colorectal Surgery, Gastroenterology, General Surgery. It has a 90-day global period.
When is CPT 45190 used?
Employed for palliation of obstructing rectal cancers, steroid-resistant bleeding polyps, or recurrent benign lesions when excision is not feasible.
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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.