45400 Laparoscopic procedure
Also known as: laparoscopic rectal procedure, lap rectosigmoid procedure
Laparoscopic procedure on rectum or sigmoid (general), used for various minimally invasive rectal/sigmoid procedures.
In Plain Language
camera-assisted surgery on rectum or sigmoid colon
Clinical Context
Performed for benign rectal conditions, strictures, or resections using laparoscopic approach for reduced tissue trauma.
RVU Breakdown
| Work RVU | 18.95 |
| Total RVU | 18.95 |
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 18.95, this code ranks in the 80th percentile among Surgery codes — 2.4x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 45400?
CPT 45400 (Laparoscopic procedure) is a Surgery code. Laparoscopic procedure on rectum or sigmoid (general), used for various minimally invasive rectal/sigmoid procedures.
What is the wRVU value for CPT 45400?
The work RVU for CPT 45400 is 18.95. This code is primarily used by Colorectal Surgery, Minimally Invasive Surgery, General Surgery. It has a 90-day global period.
When is CPT 45400 used?
Performed for benign rectal conditions, strictures, or resections using laparoscopic approach for reduced tissue trauma.
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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.