45315 Proctosigmoidoscopy removal
Also known as: proctoscopy with large polyp removal, sigmoidoscopy with large polyp resection
Proctosigmoidoscopy with removal of large polyp via snare or other advanced polypectomy technique.
In Plain Language
removal of large rectal polyp; extensive polyp removal from rectum
Clinical Context
Applied to large sessile or pedunculated polyps requiring more extensive polypectomy technique beyond simple snare electrocautery.
RVU Breakdown
| Work RVU | 1.66 |
| Total RVU | 1.66 |
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 1.66, this code ranks in the 10th percentile among Surgery codes — 4.8x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 45315?
CPT 45315 (Proctosigmoidoscopy removal) is a Surgery code. Proctosigmoidoscopy with removal of large polyp via snare or other advanced polypectomy technique.
What is the wRVU value for CPT 45315?
The work RVU for CPT 45315 is 1.66. This code is primarily used by Colorectal Surgery, Gastroenterology, General Surgery.
When is CPT 45315 used?
Applied to large sessile or pedunculated polyps requiring more extensive polypectomy technique beyond simple snare electrocautery.
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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.