45341 Sigmoidoscopy with ultrasound
Also known as: sigmoidoscopy with ultrasound, flexible sig with EUS
Sigmoidoscopy with endoscopic ultrasound (EUS) probe for assessment of lesions or submucosal structures.
In Plain Language
ultrasound imaging during lower bowel scope; sound wave imaging of bowel layers
Clinical Context
Used to evaluate depth of invasion of rectal lesions, assess submucosal pathology, or guide fine-needle aspiration biopsy.
RVU Breakdown
| Work RVU | 2.07 |
| Total RVU | 2.07 |
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 2.07, 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 45341?
CPT 45341 (Sigmoidoscopy with ultrasound) is a Surgery code. Sigmoidoscopy with endoscopic ultrasound (EUS) probe for assessment of lesions or submucosal structures.
What is the wRVU value for CPT 45341?
The work RVU for CPT 45341 is 2.07. This code is primarily used by Colorectal Surgery, Gastroenterology, General Surgery.
When is CPT 45341 used?
Used to evaluate depth of invasion of rectal lesions, assess submucosal pathology, or guide fine-needle aspiration biopsy.
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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.