45505 Repair of rectum
Also known as: transanal rectal repair, rectal perforation repair transanal
Repair of laceration or perforation of rectum via transanal approach with primary repair.
In Plain Language
surgical repair of rectal tear through anus
Clinical Context
Emergency procedure for transanal traumatic injury or iatrogenic perforation (e.g., from TEM, colonoscopy) requiring primary closure.
RVU Breakdown
| Work RVU | 8.15 |
| Total RVU | 8.15 |
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 8.15, this code ranks in the 51st percentile among Surgery codes — 1.0x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 45505?
CPT 45505 (Repair of rectum) is a Surgery code. Repair of laceration or perforation of rectum via transanal approach with primary repair.
What is the wRVU value for CPT 45505?
The work RVU for CPT 45505 is 8.15. This code is primarily used by Colorectal Surgery, Trauma Surgery, General Surgery. It has a 90-day global period.
When is CPT 45505 used?
Emergency procedure for transanal traumatic injury or iatrogenic perforation (e.g., from TEM, colonoscopy) requiring primary closure.
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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.