45338 Sigmoidoscopy with tumr remove
Also known as: sigmoidoscopy with tumor removal, flexible sig with lesion resection
Sigmoidoscopy with removal or resection of tumor via snare, laser, or endoscopic mucosal resection technique.
In Plain Language
removal of cancer or tumor in lower colon; tumor excision via scope
Clinical Context
Performed for early-stage malignancies amenable to endoscopic resection or for polypoid lesions requiring complete removal via sigmoidoscopy.
RVU Breakdown
| Work RVU | 2.00 |
| Total RVU | 2.00 |
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 2.00, this code ranks in the 14th percentile among Surgery codes — 4.0x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 45338?
CPT 45338 (Sigmoidoscopy with tumr remove) is a Surgery code. Sigmoidoscopy with removal or resection of tumor via snare, laser, or endoscopic mucosal resection technique.
What is the wRVU value for CPT 45338?
The work RVU for CPT 45338 is 2.00. This code is primarily used by Colorectal Surgery, Surgical Oncology, Gastroenterology.
When is CPT 45338 used?
Performed for early-stage malignancies amenable to endoscopic resection or for polypoid lesions requiring complete removal via sigmoidoscopy.
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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.