45327 Proctosigmoidoscopy with stent
Also known as: proctoscopy with stent placement, sigmoidoscopy with stent insertion
Proctosigmoidoscopy with placement of expandable metal stent in rectum or sigmoid colon for stricture relief or obstruction palliation.
In Plain Language
placement of tube to open stricture; stent placement in rectum
Clinical Context
Performed for malignant or benign rectal strictures causing obstruction, often as bridge to surgery or for palliative management of inoperable disease.
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 45327?
CPT 45327 (Proctosigmoidoscopy with stent) is a Surgery code. Proctosigmoidoscopy with placement of expandable metal stent in rectum or sigmoid colon for stricture relief or obstruction palliation.
What is the wRVU value for CPT 45327?
The work RVU for CPT 45327 is 1.85. This code is primarily used by Colorectal Surgery, Gastroenterology, Surgical Oncology.
When is CPT 45327 used?
Performed for malignant or benign rectal strictures causing obstruction, often as bridge to surgery or for palliative management of inoperable disease.
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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.