45340 Sig with tndsc balloon dilation
Also known as: sigmoidoscopy with stricture dilation, flexible sig with dilation
Sigmoidoscopy with dilation of sigmoid or rectal stricture via balloon, bougie, or mechanical technique.
In Plain Language
widening of narrow area in lower colon; balloon dilation of sigmoid stricture
Clinical Context
Used for symptomatic benign strictures of sigmoid colon or rectum from inflammatory bowel disease, anastomotic scarring, or radiation changes.
RVU Breakdown
| Work RVU | 1.22 |
| Total RVU | 1.22 |
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 1.22, this code ranks in the 6th percentile among Surgery codes — 6.6x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 45340?
CPT 45340 (Sig with tndsc balloon dilation) is a Surgery code. Sigmoidoscopy with dilation of sigmoid or rectal stricture via balloon, bougie, or mechanical technique.
What is the wRVU value for CPT 45340?
The work RVU for CPT 45340 is 1.22. This code is primarily used by Colorectal Surgery, Gastroenterology, General Surgery.
When is CPT 45340 used?
Used for symptomatic benign strictures of sigmoid colon or rectum from inflammatory bowel disease, anastomotic scarring, or radiation changes.
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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.