45350 Sgmdsc with band ligation
Also known as: sigmoidoscopy with band ligation, flexible sig with banding
Sigmoidoscopy with band ligation of esophageal varices or vascular lesions in sigmoid colon.
In Plain Language
rubber band placement to stop bleeding; banding of enlarged veins
Clinical Context
Performed for active variceal bleeding in rectosigmoid (in patients with portal hypertension) or bleeding vascular lesions.
RVU Breakdown
| Work RVU | 1.64 |
| Total RVU | 1.64 |
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 1.64, this code ranks in the 10th percentile among Surgery codes — 4.9x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 45350?
CPT 45350 (Sgmdsc with band ligation) is a Surgery code. Sigmoidoscopy with band ligation of esophageal varices or vascular lesions in sigmoid colon.
What is the wRVU value for CPT 45350?
The work RVU for CPT 45350 is 1.64. This code is primarily used by Colorectal Surgery, Gastroenterology, Emergency Medicine.
When is CPT 45350 used?
Performed for active variceal bleeding in rectosigmoid (in patients with portal hypertension) or bleeding vascular lesions.
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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.