CPT^® 45172, Under Excision Procedures on the Rectum

The Current Procedural Terminology (CPT^®) code 45172 as maintained by American Medical Association, is a medical procedural code under the range - Excision Procedures on the Rectum.

Additional/Related Information

Tabs

Summary

In this procedure, the provider makes an incision in the rectum to excise a tumor. He performs this procedure using a transanal approach, through the anus, and the excision the provider makes includes the muscularis propria, a thin layer of muscle lining the 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 45172 ? Start a discussion here

Colorectal

You can bill 45172 and 45330 together - no modifiers necessary.... [ Read More ]

Colorectal

Please advise. The physician performs rectal tumor, before that he does sigmoidoscopy, flexible; diagnostic, cpt 45330, to exactly find the location of polypectomy. 45172 Excision of rectal tumor, tr... [ Read More ]

New to Pathology coding and need an opinion!

We have a question for seasoned pathology coders, please help! Brand new to pathology coding and our doctors say that a Transanal Excision(CPT 45171/45172) of soft tissue should be coded by our patho... [ Read More ]

transanal endoscopic resection of rectal mass with a twist endoscopic glove mass rectal resection

Has anyone ever heard of your doc doing a transanal endoscopic resection of a rectal mass or polyp (45171 or 45172) but also came in laparscopically? I am thinking I will need an unlisted code but I w... [ Read More ]

Help with Transrectal excision of large rectal polyp

You are correct in your coding. However, are you an ASC or private office? The CPT codes you selected are correct. The 45300 for sigmoidoscopy (since diagnostic); 45172 removal of the rectal tumor. Ho... [ Read More ]

Help with Transrectal excision of large rectal polyp

" First the rigid sigmoidoscopy had been performed. The Dr, could see the polypoid growth in the rectum just above the dentate line. The Dr did a rectal ultrasound, whic confirmed the rectal polyp. Af... [ Read More ]

Excision of lesion vs. Tumor

I have a physician that documents excision of perioanal lesion. In the documentation of the procedure, he states it's a full thickness excision. He wants it coded using 45172. My problem is the path r... [ Read More ]

0184t

NJ here our rinformation state to use 45171, 45172 for medicare patieints while other carriers take the T code. good luck... [ Read More ]

ER/Observation/Inpatient Consult?

I can't seem to get the E/M correct for this date of service and it keeps coming back denied denied denied. Here's what was done prior to this visit: Can anyone help with this? 01/30/2012 45380 (biop... [ Read More ]

transanal excision/rigid sigmoidscopy

Procedure Day 1: 45172 (MD states full thickness of rectal taken with lesion) Procedure Day Four: Bleeding oversew of wound in rectum, use 45999-78 unlisted rectum. He did not state he used a flex si... [ Read More ]

View All