45395 Laparoscopic removal of rectum
Also known as: laparoscopic rectal resection, lap proctectomy, minimally invasive rectal surgery
Laparoscopic total proctectomy (laparoscopic removal of rectum) with or without anastomosis or pouch construction.
In Plain Language
camera-assisted rectum removal; minimally invasive rectal surgery
Clinical Context
Performed for rectal cancer, inflammatory bowel disease, or familial polyposis using laparoscopic approach for reduced morbidity.
RVU Breakdown
| Work RVU | 32.18 |
| Total RVU | 32.18 |
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 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 32.18, this code ranks in the 94th percentile among Surgery codes — 4.0x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 45395?
CPT 45395 (Laparoscopic removal of rectum) is a Surgery code. Laparoscopic total proctectomy (laparoscopic removal of rectum) with or without anastomosis or pouch construction.
What is the wRVU value for CPT 45395?
The work RVU for CPT 45395 is 32.18. This code is primarily used by Colorectal Surgery, Minimally Invasive Surgery, Surgical Oncology. It has a 90-day global period.
When is CPT 45395 used?
Performed for rectal cancer, inflammatory bowel disease, or familial polyposis using laparoscopic approach for reduced morbidity.
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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.