45309 Proctosigmoidoscopy removal
Also known as: proctoscopy with multiple polypectomies, sigmoidoscopy with polypectomy
Proctosigmoidoscopy with removal of multiple polyps via snare polypectomy or similar technique.
In Plain Language
removal of multiple rectal polyps; multiple polyp removal during scope
Clinical Context
Used for removal of multiple adenomas identified during screening or for known polyposis syndromes requiring multifocal polyp ablation.
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 45309?
CPT 45309 (Proctosigmoidoscopy removal) is a Surgery code. Proctosigmoidoscopy with removal of multiple polyps via snare polypectomy or similar technique.
What is the wRVU value for CPT 45309?
The work RVU for CPT 45309 is 1.37. This code is primarily used by Colorectal Surgery, Gastroenterology, General Surgery.
When is CPT 45309 used?
Used for removal of multiple adenomas identified during screening or for known polyposis syndromes requiring multifocal polyp ablation.
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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.