45333 Sigmoidoscopy & polypectomy
Also known as: sigmoidoscopy with polyp removal, flexible sig with polypectomy
Sigmoidoscopy with polypectomy (removal of polyp via snare, laser, or excisional technique).
In Plain Language
removal of polyp in lower colon; polyp removal during lower bowel scope
Clinical Context
Performed for removal of adenomatous or sessile polyps identified during sigmoid screening or evaluation of lower gastrointestinal symptoms.
RVU Breakdown
| Work RVU | 1.51 |
| Total RVU | 1.51 |
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 1.51, this code ranks in the 9th percentile among Surgery codes — 5.3x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 45333?
CPT 45333 (Sigmoidoscopy & polypectomy) is a Surgery code. Sigmoidoscopy with polypectomy (removal of polyp via snare, laser, or excisional technique).
What is the wRVU value for CPT 45333?
The work RVU for CPT 45333 is 1.51. This code is primarily used by Colorectal Surgery, Gastroenterology, General Surgery.
When is CPT 45333 used?
Performed for removal of adenomatous or sessile polyps identified during sigmoid screening or evaluation of lower gastrointestinal symptoms.
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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.