45389 Colonoscopy with stent plcmt
Also known as: colonoscopy with stent placement, colon stent insertion
Colonoscopy with placement of expandable metal stent for colonic obstruction relief or stricture palliation.
In Plain Language
placement of metal tube to open blockage; stent placement in colon
Clinical Context
Performed for malignant obstruction, benign strictures, or acute colonic obstruction as bridge to surgery or for palliative management.
RVU Breakdown
| Work RVU | 5.11 |
| Total RVU | 5.11 |
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 5.11, this code ranks in the 34th percentile among Surgery codes — 1.6x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 45389?
CPT 45389 (Colonoscopy with stent plcmt) is a Surgery code. Colonoscopy with placement of expandable metal stent for colonic obstruction relief or stricture palliation.
What is the wRVU value for CPT 45389?
The work RVU for CPT 45389 is 5.11. This code is primarily used by Colorectal Surgery, Gastroenterology, Surgical Oncology.
When is CPT 45389 used?
Performed for malignant obstruction, benign strictures, or acute colonic obstruction as bridge to surgery or for palliative management.
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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.