45390 Colonoscopy with resection
Also known as: colonoscopy with endoscopic resection, colon EMR/ESD, colonoscopy with foreign body removal
Colonoscopy with resection of portion of colon via endoscopic mucosal resection (EMR) or endoscopic submucosal dissection (ESD).
Clinical Context
Performed for large sessile polyps or early-stage colonic malignancies amenable to endoscopic resection without formal colectomy.
RVU Breakdown
| Work RVU | 5.89 |
| Practice Expense RVU | 2.15 |
| Malpractice RVU | 0.65 |
| Total RVU | 8.69 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Specialties
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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.