45805 Repair fistula with colostomy
Also known as: rectovesical fistula repair with colostomy, fistula repair with diversion
Surgical repair of rectovesical fistula with creation of colostomy for fecal diversion.
In Plain Language
surgery to close abnormal connection with creation of bowel opening
Clinical Context
Surgical management of complex rectovesical fistula requiring fecal diversion via colostomy for healing.
RVU Breakdown
| Work RVU | 22.74 |
| Total RVU | 22.74 |
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 22.74, this code ranks in the 86th percentile among Surgery codes — 2.8x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 45805?
CPT 45805 (Repair fistula with colostomy) is a Surgery code. Surgical repair of rectovesical fistula with creation of colostomy for fecal diversion.
What is the wRVU value for CPT 45805?
The work RVU for CPT 45805 is 22.74. This code is primarily used by Colorectal Surgery, Urology, General Surgery. It has a 90-day global period.
When is CPT 45805 used?
Surgical management of complex rectovesical fistula requiring fecal diversion via colostomy for healing.
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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.