CPT 45121Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with subtotal or total colectomy

Pediatric SurgeryGlobal Period: 90 days

RVU Values (2026 CMS Fee Schedule)

38.85
Work RVU
19.43
PE RVU
5.05
MP RVU
63.33
Total RVU
Estimated Medicare Payment: $2146.25 (CF: $33.89)
Global Period: 90 days

Common Modifiers

None typically required

Related ICD-10 Codes

Q43.1

Billing Tips

When billing CPT 45121, ensure your operative note clearly documents the procedure performed, clinical indication, and any complications or additional work that would support modifier usage. Always verify the code against the current AMA CPT Professional Edition before claim submission.

For multi-procedure cases, use our Case Builder to automatically calculate adjusted wRVUs with proper MPPR ranking.

Related CPT Codes in Pediatric Surgery

CPT 43520 — Pyloromyotomy, cutting of pyloric muscle (Fredet-Ramstedt ty CPT 43659 — Unlisted laparoscopy procedure, stomach CPT 49501 — Repair initial inguinal hernia, younger than age 5 years; in CPT 54640 — Orchiopexy, inguinal approach, with or without hernia repair CPT 54650 — Orchiopexy, abdominal approach, for intra-abdominal testis ( CPT 54692 — Laparoscopy, surgical; orchiopexy for intra-abdominal testis
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