45332 Sigmoidoscopy with foreign body removal
Also known as: sigmoidoscopy with foreign body removal, sigmoid foreign body extraction
Sigmoidoscopy with removal of foreign body lodged in sigmoid colon via forceps or basket extraction.
In Plain Language
removal of swallowed object from lower colon; foreign body extraction via scope
Clinical Context
Emergency procedure for retained foreign bodies in sigmoid colon presenting with pain, obstruction, or perforation risk.
RVU Breakdown
| Work RVU | 1.72 |
| Total RVU | 1.72 |
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 1.72, this code ranks in the 11th percentile among Surgery codes — 4.6x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 45332?
CPT 45332 (Sigmoidoscopy with foreign body removal) is a Surgery code. Sigmoidoscopy with removal of foreign body lodged in sigmoid colon via forceps or basket extraction.
What is the wRVU value for CPT 45332?
The work RVU for CPT 45332 is 1.72. This code is primarily used by Colorectal Surgery, Emergency Medicine, Gastroenterology.
When is CPT 45332 used?
Emergency procedure for retained foreign bodies in sigmoid colon presenting with pain, obstruction, or perforation risk.
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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.