45402 Laparoscopic proctopexy with sig resection
Also known as: laparoscopic rectopexy with sigmoidectomy, lap prolapse repair with resection
Laparoscopic proctopexy with sigmoid colon resection for rectal prolapse or redundant sigmoid repair.
In Plain Language
camera-assisted fixing of prolapsed rectum with colon removal
Clinical Context
Used for full-thickness rectal prolapse with redundant sigmoid requiring both fixation and sigmoid resection via laparoscopic approach.
RVU Breakdown
| Work RVU | 25.85 |
| Total RVU | 25.85 |
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 25.85, this code ranks in the 90th percentile among Surgery codes — 3.2x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 45402?
CPT 45402 (Laparoscopic proctopexy with sig resection) is a Surgery code. Laparoscopic proctopexy with sigmoid colon resection for rectal prolapse or redundant sigmoid repair.
What is the wRVU value for CPT 45402?
The work RVU for CPT 45402 is 25.85. This code is primarily used by Colorectal Surgery, Minimally Invasive Surgery, Pelvic Floor Surgery. It has a 90-day global period.
When is CPT 45402 used?
Used for full-thickness rectal prolapse with redundant sigmoid requiring both fixation and sigmoid resection via laparoscopic approach.
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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.