CPT^® 45110, Under Excision Procedures on the Rectum

The Current Procedural Terminology (CPT^®) code 45110 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 removes the entire rectum along with a portion of the lower colon and the anal sphincter via an abdominoperineal approach. He also performs a colostomy to reroute the intestine above the rectum out through the abdomen. The area of diseased rectum cannot be reached through an anal approach. He performs this procedure to treat Crohn colitis or cancer of the colon and rectum.

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 45110 ? Start a discussion here

TaTME Transanal total Mesorectal excision

I am looking for a CPT Code for a Transanal total mesorectal excision with coloanal anastomosis. I found a similiar code 45110 but the approach is not correct. Same with 44147. The first part of the ... [ Read More ]

Aborted Procedure Help

I would code the intended procedure, thinking 45110-52 & 37660... [ Read More ]

Aborted Procedure Help

Hello, Can someone assist me in finding the correct codes for the below aborted procedure? Procedure(s): ABDOMINOPERINEAL RESECTION; ABORTED VASCULAR CLIP LIGATION LEFT INTERNAL ILIAC VEIN Procedur... [ Read More ]

Reduced services AND unusual procedural services (-52 and -22)

I am in a bit of a quandary. My surgeon performed a total proctectomy abdominoperineal approach on a patient with a new diagnosis of primary rectal CA. There was extensive adhesiolysis required to s... [ Read More ]

coding help - colostomy creation

exploratory laparotomy, lysis of adhesions, abdominoperineal resection, splenic flexure mobilization, colostomy creation. i know the exploratory lap and lysis of adhesions is bundled, and there was ... [ Read More ]

Combined Urology and surgey

The problem is that I can't find any CCI edits and I do not believe that all these codes can be billed and there are no conflicts. Seems odd to me. If someone can offer any input, I would appreciate i... [ Read More ]

Abdominoperineal Resection

I would go w/45110-52 unless the carrier is known to automatically use 50% allowances on the -52. You can use the status ileostomy dx code as well as putting the info in the box 19 equivalent-space.... [ Read More ]

Abdominoperineal Resection

I have a report attacted that I'm debating on the coding with. The physician performed a complete proctectomy without anastomosis and without pull through because the patient already had an ileostomy... [ Read More ]

Extralevator abdominoperineal resection with total mesorectal excision and mesh sling

Wow, thanks! So do you think I would still need the -22 modifier on the 45110? Or just use 45110 and 44700? Heather, CPC... [ Read More ]

Extralevator abdominoperineal resection with total mesorectal excision and mesh sling

I am really struggling with this surgery. I was thinking maybe 45110-22 but then I wasn't sure it told the whole story?? What about the mesh sling?? Please Help!! Heather, CPC DIAGNOSIS: Low rectal c... [ Read More ]

View All