45382 Colonoscopy with control bleed
Also known as: colonoscopy with bleeding control, colon hemostasis
Colonoscopy with hemostasis of actively bleeding lesion via injection, cautery, clip placement, or banding.
In Plain Language
stopping colon bleeding; cauterization of bleeding site
Clinical Context
Emergency intervention for acute colonic bleeding from diverticula, polyps, angiodysplasia, ulcers, or anastomoses.
RVU Breakdown
| Work RVU | 4.54 |
| Total RVU | 4.54 |
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 4.54, this code ranks in the 31st percentile among Surgery codes — 1.8x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 45382?
CPT 45382 (Colonoscopy with control bleed) is a Surgery code. Colonoscopy with hemostasis of actively bleeding lesion via injection, cautery, clip placement, or banding.
What is the wRVU value for CPT 45382?
The work RVU for CPT 45382 is 4.54. This code is primarily used by Colorectal Surgery, Gastroenterology, Emergency Medicine.
When is CPT 45382 used?
Emergency intervention for acute colonic bleeding from diverticula, polyps, angiodysplasia, ulcers, or anastomoses.
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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.