45386 Colonoscopy with balloon dilation
Also known as: colonoscopy with stricture dilation, colon dilation, colonoscopy with dilation
Colonoscopy with dilation of colonic stricture via balloon, bougie, or mechanical technique.
In Plain Language
widening of narrow area in colon; balloon dilation of stricture
Clinical Context
Used for symptomatic benign strictures of colon from inflammatory bowel disease, anastomotic scarring, or radiation injury.
RVU Breakdown
| Work RVU | 3.68 |
| Total RVU | 3.68 |
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 3.68, this code ranks in the 25th percentile among Surgery codes — 2.2x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 45386?
CPT 45386 (Colonoscopy with balloon dilation) is a Surgery code. Colonoscopy with dilation of colonic stricture via balloon, bougie, or mechanical technique.
What is the wRVU value for CPT 45386?
The work RVU for CPT 45386 is 3.68. This code is primarily used by Colorectal Surgery, Gastroenterology, General Surgery.
When is CPT 45386 used?
Used for symptomatic benign strictures of colon from inflammatory bowel disease, anastomotic scarring, or radiation injury.
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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.