CPT 45119 Proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with creation of colonic reservoir (eg, J-pouch), with diverting enterostomy
RVU Snapshot
- Work RVU: 32.64
- PE RVU: 13.77
- MP RVU: 4.71
- Total RVU: 51.12
- Estimated Medicare payment: $1,707.45
- Global period: 90
- Assistant surgeon indicator: 2
- Co-surgeon indicator: 1
- Team surgeon indicator: 0
- Bilateral indicator: 0
- Multiple procedure indicator: 2
Coding Note
Case Builder uses this same total-RVU Medicare payment estimate and applies modifier or MPPR adjustments only at the case level.
Sources: RVU values from CMS PFS RVU26C July 2026 non-QPP. Indicator metadata from CMS PFS RVU26C July 2026 non-QPP. Educational coding support only; confirm final billing against AMA CPT, CMS MPFS, NCCI, and payer policy.