CPT^® 45100, Under Excision Procedures on the Rectum

The Current Procedural Terminology (CPT^®) code 45100 as maintained by American Medical Association, is a medical procedural code under the range - Excision Procedures on the Rectum.

Additional/Related Information

Tabs

Summary

The provider uses an anal approach to take a biopsy of the anorectal wall. He sends the tissue to the laboratory for pathologic examination.

For clinical responsibility, terminology, tips and additional info
start codify free trial.

View any code changes for 2024 as well as historical information on code creation and revision.

Crosswalks

Tabs

Combat the #1 denial reason - mismatched CPT-ICD-9 codes - with top Medicare carrier and private payer accepted diagnoses for the chosen CPT® code.

View the CPT® code's corresponding procedural code and DRG. In a click, check the DRG's IPPS allowable, length of stay, and more. To plug inpatient facility revenue drains, subscribe to DRG Coder today.

Crosswalk to an anesthesia code and its base units, and calculate payments in a snap! Subscribe to Anesthesia Coder today.

View matching HCPCS Level II codes and their definitions.

Forum

Have a question about CPT Code 45100 ? Start a discussion here

Biopsy of Anal Canal

Under general anesthesia the sawyer retractor was placed there was a hypertrophic anal papilla coming off the left anal column. Local was injected. This was excised using a 15 blade and then chromic w... [ Read More ]

Perianal Wedge Biopsy

I was thinking 45100 but that's more of a biopsy of the rectal wall thru a transanal approach.... [ Read More ]

Perianal Wedge Biopsy

45100???... [ Read More ]

Really Stumped on How To Code This

[b]Limited Options[/b] I coded this op report to 45100.... [ Read More ]

45100 and global period

Our pediatric gastroenterologist performed rectal suction bx, which carries a 90 day global. (Hirschprung's was neg). The patient came back for an office visit one month later, when their constipati... [ Read More ]

Help!!!-Does anyone know

45990 [I]Rectal exam under anesthesia[/I] and 45100 [I]Biopsy of anorectal wall, anal approach[/I] are bundled per CCI edits, so I would use 45100, as it has a higher RVU. Hope this helps!... [ Read More ]

Help !!!!!!!!!Biopsy of anal canal mass without scope.

Hi, would anyone suggest how do we code biopsy of the anal canal mass without scope, as an ASC we cannot use unlisted code.46999 ...... Can we use 45100 (Biopsy of anorectal wall) Any thoughts on t... [ Read More ]

45100

I checked the CCI edits on both codes, itlooks like you can bill them together withthe appropriate modifier. Just incase your RVU's are 45100= 8.72 and 45300= 1.57. i've never billed these codes, so I... [ Read More ]

45100

The doc did a anal biopsy of a scar and after that he did a rigid proctosigmoidoscopy. Can you bill these separatley 45100 and 45300? It passed the CCI edits. He didn't do the biopsy under the proctos... [ Read More ]

Perinal Mass Biopsy

Hard to say with what info you have provided. is it superficial? 11100 there is also 45100- bx of ano-rectal wall??... [ Read More ]

View All