45317 Proctosigmoidoscopy bleed
Also known as: proctoscopy with bleeding control, sigmoidoscopy with hemorrhage management
Proctosigmoidoscopy with hemostasis of bleeding lesion via injection, cautery, or clip application.
In Plain Language
stopping rectal bleeding with scope; cauterization of bleeding site
Clinical Context
Emergency intervention for acute lower gastrointestinal bleeding, diverticular bleeding, or bleeding from polyp sites or ulcerations in the rectosigmoid.
RVU Breakdown
| Work RVU | 1.85 |
| Total RVU | 1.85 |
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 1.85, this code ranks in the 12th percentile among Surgery codes — 4.3x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 45317?
CPT 45317 (Proctosigmoidoscopy bleed) is a Surgery code. Proctosigmoidoscopy with hemostasis of bleeding lesion via injection, cautery, or clip application.
What is the wRVU value for CPT 45317?
The work RVU for CPT 45317 is 1.85. This code is primarily used by Colorectal Surgery, Gastroenterology, Emergency Medicine.
When is CPT 45317 used?
Emergency intervention for acute lower gastrointestinal bleeding, diverticular bleeding, or bleeding from polyp sites or ulcerations in the rectosigmoid.
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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.