45397 Laparoscopic remove rectum with pouch
Surgery
Global 90d
Also known as: laparoscopic IPAA, lap total proctectomy with pouch, minimally invasive J-pouch
Laparoscopic proctectomy with construction of ileal pouch-anal anastomosis (IPAA) for sphincter preservation.
Clinical Context
Performed for ulcerative colitis or familial adenomatous polyposis using laparoscopic approach with ileoanal pouch reconstruction.
RVU Breakdown
| Work RVU | 35.59 |
| Practice Expense RVU | 16.39 |
| Malpractice RVU | 6.16 |
| Total RVU | 58.14 |
Est. Medicare Payment
$1,941.88
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Specialties
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.