45500 Repair of rectum
Also known as: rectal repair, rectal laceration repair, rectal perforation closure
Repair of laceration or perforation of rectum via abdominal approach with primary repair.
In Plain Language
surgical repair of rectal tear or hole
Clinical Context
Emergency procedure for traumatic, iatrogenic, or spontaneous rectal perforation/laceration requiring primary repair.
RVU Breakdown
| Work RVU | 7.54 |
| Total RVU | 7.54 |
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 7.54, this code ranks in the 48th percentile among Surgery codes — 1.1x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 45500?
CPT 45500 (Repair of rectum) is a Surgery code. Repair of laceration or perforation of rectum via abdominal approach with primary repair.
What is the wRVU value for CPT 45500?
The work RVU for CPT 45500 is 7.54. This code is primarily used by Colorectal Surgery, Trauma Surgery, General Surgery. It has a 90-day global period.
When is CPT 45500 used?
Emergency procedure for traumatic, iatrogenic, or spontaneous rectal perforation/laceration requiring primary repair.
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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.