45540 Correct rectal prolapse
Also known as: abdominal rectopexy for prolapse, sacral rectopexy, Wells procedure
Surgical correction of rectal prolapse via abdominal approach with rectopexy (sacral fixation or suspension).
In Plain Language
abdominal surgery to fix prolapsed rectum
Clinical Context
Definitive surgical correction of full-thickness rectal prolapse via transabdominal approach with sacral or lateral pelvic fixation.
RVU Breakdown
| Work RVU | 17.67 |
| Total RVU | 17.67 |
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 17.67, this code ranks in the 78th percentile among Surgery codes — 2.2x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 45540?
CPT 45540 (Correct rectal prolapse) is a Surgery code. Surgical correction of rectal prolapse via abdominal approach with rectopexy (sacral fixation or suspension).
What is the wRVU value for CPT 45540?
The work RVU for CPT 45540 is 17.67. This code is primarily used by Colorectal Surgery, General Surgery, Pelvic Floor Surgery. It has a 90-day global period.
When is CPT 45540 used?
Definitive surgical correction of full-thickness rectal prolapse via transabdominal approach with sacral or lateral pelvic fixation.
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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.