45393 Colonoscopy with decompression
Also known as: colonoscopy with decompression, colon decompression
Colonoscopy with decompression of colonic obstruction or acute colonic pseudo-obstruction via needle aspiration or catheter placement.
In Plain Language
needle puncture to release gas; relief of bowel blockage
Clinical Context
Emergency procedure for acute colonic pseudo-obstruction (Ogilvie syndrome) or mechanical obstruction when initial conservative management fails.
RVU Breakdown
| Work RVU | 4.56 |
| Total RVU | 4.56 |
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 4.56, 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 45393?
CPT 45393 (Colonoscopy with decompression) is a Surgery code. Colonoscopy with decompression of colonic obstruction or acute colonic pseudo-obstruction via needle aspiration or catheter placement.
What is the wRVU value for CPT 45393?
The work RVU for CPT 45393 is 4.56. This code is primarily used by Colorectal Surgery, Gastroenterology, Emergency Medicine.
When is CPT 45393 used?
Emergency procedure for acute colonic pseudo-obstruction (Ogilvie syndrome) or mechanical obstruction when initial conservative management fails.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against MGMA data — all in one app.
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.