45321 Proctosigmoidoscopy volvul
Also known as: proctoscopy with volvulus decompression, sigmoidoscopy with decompression
Proctosigmoidoscopy with decompression of sigmoid volvulus (twisted bowel) via needle decompression or tube placement.
Clinical Context
Emergency procedure for acute sigmoid volvulus presenting with abdominal pain and obstruction, potentially avoiding surgery if successful decompression achieved.
RVU Breakdown
| Work RVU | 1.61 |
| Practice Expense RVU | 0.90 |
| Malpractice RVU | 0.43 |
| Total RVU | 2.94 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Specialties
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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.