CPT 45397 Laparoscopy, surgical; proctectomy, combined abdominoperineal pull-through procedure, with creation of colonic reservoir
RVU Snapshot
- Work RVU: 35.59
- PE RVU: 16.39
- MP RVU: 6.16
- Total RVU: 58.14
- Estimated Medicare payment: $1,941.93
- 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.