45541 Correct rectal prolapse
Also known as: perineal proctosigmoidectomy for prolapse, Altemeier procedure, perineal prolapse repair
Surgical correction of rectal prolapse via perineal approach (Altemeier procedure) with excision.
In Plain Language
buttock surgery to remove protruding rectum
Clinical Context
Perineal surgical correction of full-thickness rectal prolapse via circumferential excision, suitable for elderly or infirm patients.
RVU Breakdown
| Work RVU | 14.48 |
| Total RVU | 14.48 |
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 14.48, this code ranks in the 72nd percentile among Surgery codes — 1.8x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 45541?
CPT 45541 (Correct rectal prolapse) is a Surgery code. Surgical correction of rectal prolapse via perineal approach (Altemeier procedure) with excision.
What is the wRVU value for CPT 45541?
The work RVU for CPT 45541 is 14.48. This code is primarily used by Colorectal Surgery, General Surgery, Pelvic Floor Surgery. It has a 90-day global period.
When is CPT 45541 used?
Perineal surgical correction of full-thickness rectal prolapse via circumferential excision, suitable for elderly or infirm patients.
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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.