45337 Sigmoidoscopy & decompress
Also known as: sigmoidoscopy with decompression, volvulus decompression
Sigmoidoscopy with decompression of sigmoid volvulus or colonic obstruction via needle aspiration or tube placement.
In Plain Language
untwisting and relieving blockage; needle decompression of twisted colon
Clinical Context
Emergency procedure for acute sigmoid volvulus or acute colonic pseudo-obstruction (Ogilvie syndrome) presenting with abdominal distension and pain.
RVU Breakdown
| Work RVU | 2.05 |
| Total RVU | 2.05 |
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 2.05, this code ranks in the 14th percentile among Surgery codes — 3.9x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 45337?
CPT 45337 (Sigmoidoscopy & decompress) is a Surgery code. Sigmoidoscopy with decompression of sigmoid volvulus or colonic obstruction via needle aspiration or tube placement.
What is the wRVU value for CPT 45337?
The work RVU for CPT 45337 is 2.05. This code is primarily used by Colorectal Surgery, Gastroenterology, Emergency Medicine.
When is CPT 45337 used?
Emergency procedure for acute sigmoid volvulus or acute colonic pseudo-obstruction (Ogilvie syndrome) presenting with abdominal distension and pain.
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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.