CPT 45990 Surg dx exam anorectal
RVU Snapshot
- Work RVU: 1.76
- PE RVU: 0.87
- MP RVU: 0.35
- Total RVU: 2.98
- Estimated Medicare payment: $99.53
- Global period: 0 days
- Assistant surgeon indicator: 0
- Co-surgeon indicator: 1
- Team surgeon indicator: 1
- Bilateral indicator: 0
- Multiple procedure indicator: 2
Rectum Coding Note
Select CPT 45990 from the documented operative facts, approach, anatomic target, and separately supported work. Case Builder uses this same total-RVU Medicare estimate and applies modifier or MPPR adjustments only at the case level.
Related Phase A Codes
CPT 45005 - Drainage of rectal abscess CPT 45020 - Drainage of rectal abscess CPT 45100 - Biopsy of rectum CPT 45108 - Anorectal myomectomy CPT 45110 - Proctectomy; complete, combined abdominoperineal, with colostomy CPT 45111 - Proctectomy, partial CPT 45112 - Proctectomy, combined abdominoperineal CPT 45113 - Proctectomy, partial, with rectal mucosectomy, ileoanal anastomosis, includes loop ileostomy CPT 45114 - Proctectomy, partial, with anterior resection CPT 45116 - Proctectomy, partial, transperineal approach CPT 45119 - Proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with creation of colonic reservoir (eg, J-pouch), with diverting enterostomy CPT 45120 - Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with pull-through procedure and anastomosisSource: CMS PFS RVU26C July 2026 non-QPP (PPRRVU2026_Jul_nonQPP.csv). Educational coding support only; confirm final billing against AMA CPT, CMS MPFS, NCCI, and payer policy.