45307 Proctosigmoidoscopy foreign body
Also known as: proctoscopy with foreign body removal, rectal foreign body extraction
Proctosigmoidoscopy with removal of foreign body lodged in rectum or sigmoid colon.
In Plain Language
removal of swallowed object from rectum; extraction of foreign body via scope
Clinical Context
Emergency procedure for patients presenting with retained rectal foreign bodies causing obstruction, perforation risk, or lower gastrointestinal symptoms.
RVU Breakdown
| Work RVU | 1.56 |
| Total RVU | 1.56 |
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 1.56, this code ranks in the 10th percentile among Surgery codes — 5.1x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 45307?
CPT 45307 (Proctosigmoidoscopy foreign body) is a Surgery code. Proctosigmoidoscopy with removal of foreign body lodged in rectum or sigmoid colon.
What is the wRVU value for CPT 45307?
The work RVU for CPT 45307 is 1.56. This code is primarily used by Colorectal Surgery, Emergency Medicine, Gastroenterology.
When is CPT 45307 used?
Emergency procedure for patients presenting with retained rectal foreign bodies causing obstruction, perforation risk, or lower gastrointestinal symptoms.
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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.