45398 Colonoscopy with band ligation
Also known as: colonoscopy with band ligation, colon banding
Colonoscopy with band ligation of esophageal varices or vascular lesions in colon.
In Plain Language
rubber band placement on colonic bleeding vessels; banding of varices
Clinical Context
Performed for variceal bleeding in colon (in patients with portal hypertension) or bleeding vascular lesions amenable to banding.
RVU Breakdown
| Work RVU | 4.10 |
| Total RVU | 4.10 |
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 4.10, this code ranks in the 28th percentile among Surgery codes — 2.0x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 45398?
CPT 45398 (Colonoscopy with band ligation) is a Surgery code. Colonoscopy with band ligation of esophageal varices or vascular lesions in colon.
What is the wRVU value for CPT 45398?
The work RVU for CPT 45398 is 4.10. This code is primarily used by Colorectal Surgery, Gastroenterology, Emergency Medicine.
When is CPT 45398 used?
Performed for variceal bleeding in colon (in patients with portal hypertension) or bleeding vascular lesions amenable to banding.
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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.