45308 Proctosigmoidoscopy removal
Also known as: proctoscopy with polypectomy, sigmoidoscopy with polyp removal
Proctosigmoidoscopy with removal of polyp or lesion via snare polypectomy or excisional technique.
In Plain Language
removal of rectal polyp with snare; polyp removal during viewing
Clinical Context
Performed for small to medium adenomatous or sessile polyps amenable to endoscopic removal without formal excision or resection.
RVU Breakdown
| Work RVU | 1.27 |
| Total RVU | 1.27 |
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 1.27, this code ranks in the 7th percentile among Surgery codes — 6.3x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 45308?
CPT 45308 (Proctosigmoidoscopy removal) is a Surgery code. Proctosigmoidoscopy with removal of polyp or lesion via snare polypectomy or excisional technique.
What is the wRVU value for CPT 45308?
The work RVU for CPT 45308 is 1.27. This code is primarily used by Colorectal Surgery, Gastroenterology, General Surgery.
When is CPT 45308 used?
Performed for small to medium adenomatous or sessile polyps amenable to endoscopic removal without formal excision or resection.
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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.