45303 Proctosigmoidoscopy dilate
Also known as: proctoscopy with dilation, sigmoidoscopy with stricture dilation
Proctosigmoidoscopy with dilation of rectal or sigmoid stricture via balloon or bougie technique.
In Plain Language
camera exam and stretching of narrowed colon; widening of stricture with scope
Clinical Context
Used for symptomatic benign strictures of rectum or sigmoid colon secondary to inflammatory bowel disease, anastomotic scarring, or radiation injury.
RVU Breakdown
| Work RVU | 1.37 |
| Total RVU | 1.37 |
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 0-day global period, meaning pre- and post-operative E&M visits are billable separately on the same day. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 1.37, this code ranks in the 8th percentile among Surgery codes — 5.8x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 45303?
CPT 45303 (Proctosigmoidoscopy dilate) is a Surgery code. Proctosigmoidoscopy with dilation of rectal or sigmoid stricture via balloon or bougie technique.
What is the wRVU value for CPT 45303?
The work RVU for CPT 45303 is 1.37. This code is primarily used by Colorectal Surgery, Gastroenterology, General Surgery.
When is CPT 45303 used?
Used for symptomatic benign strictures of rectum or sigmoid colon secondary to inflammatory bowel disease, anastomotic scarring, or radiation injury.
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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.