45397 Laparoscopic remove rectum with pouch
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.
In Plain Language
camera-assisted rectum removal with pouch creation; minimally invasive pouch surgery
Clinical Context
Performed for ulcerative colitis or familial adenomatous polyposis using laparoscopic approach with ileoanal pouch reconstruction.
RVU Breakdown
| Work RVU | 35.59 |
| Total RVU | 35.59 |
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 35.59, this code ranks in the 95th percentile among Surgery codes — 4.5x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 45397?
CPT 45397 (Laparoscopic remove rectum with pouch) is a Surgery code. Laparoscopic proctectomy with construction of ileal pouch-anal anastomosis (IPAA) for sphincter preservation.
What is the wRVU value for CPT 45397?
The work RVU for CPT 45397 is 35.59. This code is primarily used by Colorectal Surgery, Minimally Invasive Surgery, Gastrointestinal Surgery. It has a 90-day global period.
When is CPT 45397 used?
Performed for ulcerative colitis or familial adenomatous polyposis using laparoscopic approach with ileoanal pouch reconstruction.
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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.