45563 Exploration/repair of rectum
Also known as: rectal repair with colostomy, rectal exploration with diversion
Exploration of rectum via abdominal or perineal approach with repair and creation of colostomy or diverting ileostomy.
In Plain Language
abdominal surgery to repair rectum with creation of stoma
Clinical Context
Surgical management of complex rectal injuries or defects requiring both repair and fecal diversion via colostomy or ileostomy.
RVU Breakdown
| Work RVU | 25.72 |
| Total RVU | 25.72 |
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 25.72, this code ranks in the 89th 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 45563?
CPT 45563 (Exploration/repair of rectum) is a Surgery code. Exploration of rectum via abdominal or perineal approach with repair and creation of colostomy or diverting ileostomy.
What is the wRVU value for CPT 45563?
The work RVU for CPT 45563 is 25.72. This code is primarily used by Colorectal Surgery, General Surgery, Trauma Surgery. It has a 90-day global period.
When is CPT 45563 used?
Surgical management of complex rectal injuries or defects requiring both repair and fecal diversion via colostomy or ileostomy.
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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.