Data Updated for Q4 2018
CPT Code: 45990
Description: Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic
Status Code
A
Active Code. These codes are paid separately under the physician fee schedule, if covered. There will be RVUs for codes with this status. The presence of an “A” indicator does not mean that Medicare has made a nation
Global Days
000
Endoscopic or minor procedure with related preoperative and postoperative relative values on the day of the procedure only included in the fee schedule payment amount; evaluation and management services on the day
Medicare RUVs and Fees
Work RVU – 1.80
Malpractice RVU – 0.32
Facility RVU – 0.98
Non-Facility RVU – 0.98
Facility Total RVU – 3.10
Non-Facility Total RVU – 3.10
Medicare National Facility Total Payment – $111.6
Medicare National Non-Facility Total Payment – $111.6
Bundling Information
Includes
0213T, 0216T, 0226T, 0228T, 0230T, 0288T, 12001, 12002, 12004, 12005, 12006, 12007, 12011, 12013, 12014, 12015, 12016, 12017, 12018, 12020, 12021, 12031, 12032, 12034, 12035, 12036, 12037, 12041, 12042, 12044, 12045, 12046, 12047, 12051, 12052, 12053, 12054, 12055, 12056, 12057, 13100, 13101, 13102, 13120, 13121, 13122, 13131, 13132, 13133, 13150, 13151, 13152, 13153, 36000, 36400, 36405, 36406, 36410, 36420, 36425, 36430, 36440, 36591, 36592, 36600, 36640, 37202, 43752, 45300, 45330, 45900, 45905, 45910, 45915, 46220, 46600, 46601, 46601, 51701, 51702, 51703, 57410, 61650, 62310, 62311, 62318, 62319, 62320, 62321, 62322, 62323, 62324, 62325, 62326, 62327, 64400, 64402, 64405, 64408, 64410, 64412, 64413, 64415, 64416, 64417, 64418, 64420, 64421, 64425, 64430, 64435, 64445, 64446, 64447, 64448, 64449, 64450, 64461, 64462, 64463, 64470, 64475, 64479, 64480, 64483, 64484, 64486, 64487, 64488, 64489, 64490, 64491, 64492, 64493, 64494, 64495, 64505, 64508, 64510, 64517, 64520, 64530, 64550, 69990, 90760, 90765, 90772, 90774, 90775, 92012, 92012, 92014, 92014, 93000, 93005, 93010, 93040, 93041, 93042, 93318, 93355, 94002, 94200, 94250, 94680, 94681, 94690, 94770, 95812, 95813, 95816, 95819, 95822, 95829, 95955, 96360, 96361, 96365, 96366, 96367, 96368, 96372, 96374, 96375, 96376, 96377, 99143, 99144, 99145, 99148, 99149, 99150, 99151, 99152, 99153, 99155, 99156, 99157, 99211, 99212, 99213, 99214, 99215, 99217, 99218, 99219, 99220, 99221, 99222, 99223, 99231, 99232, 99233, 99234, 99235, 99236, 99238, 99239, 99241, 99242, 99243, 99244, 99245, 99251, 99252, 99253, 99254, 99255, 99291, 99292, 99304, 99305, 99306, 99307, 99308, 99309, 99310, 99315, 99316, 99334, 99335, 99336, 99337, 99347, 99348, 99349, 99350, 99374, 99375, 99377, 99378, 99446, 99447, 99448, 99449, 99495, 99496, C9735, G0463, G0471, G0500, G6027
Included In
0170T, 0184T, 0227T, 0249T, 0377T, 45000, 45005, 45020, 45100, 45108, 45110, 45111, 45112, 45113, 45114, 45116, 45119, 45120, 45121, 45123, 45126, 45130, 45135, 45136, 45150, 45160, 45170, 45171, 45172, 45190, 45303, 45305, 45307, 45308, 45309, 45315, 45317, 45320, 45321, 45327, 45330, 45331, 45332, 45333, 45334, 45335, 45337, 45338, 45339, 45340, 45341, 45342, 45345, 45346, 45347, 45349, 45350, 45355, 45378, 45379, 45380, 45381, 45382, 45383, 45384, 45385, 45386, 45387, 45388, 45389, 45390, 45391, 45392, 45393, 45395, 45397, 45398, 45400, 45402, 45500, 45505, 45520, 45540, 45541, 45550, 45560, 45562, 45563, 45800, 45805, 45820, 45825, 46020, 46030, 46040, 46045, 46050, 46060, 46070, 46080, 46083, 46200, 46210, 46211, 46220, 46221, 46230, 46250, 46255, 46257, 46258, 46260, 46261, 46262, 46270, 46275, 46280, 46285, 46288, 46320, 46500, 46604, 46606, 46607, 46608, 46610, 46611, 46612, 46614, 46615, 46700, 46705, 46706, 46707, 46710, 46712, 46715, 46716, 46730, 46735, 46740, 46742, 46744, 46746, 46748, 46750, 46751, 46753, 46754, 46760, 46761, 46762, 46900, 46910, 46916, 46917, 46922, 46924, 46930, 46934, 46935, 46936, 46937, 46938, 46940, 46942, 46945, 46946, 46947, 49407, 49442, 99170, C9716, C9725, G6022, G6023, G6024, G6025, G6028
Mutually Exclusive
No Mutually Exclusive Edits for this Code
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Related CPT Codes
CPT Code | Description |
---|---|
45900 | Reduction of procidentia (separate procedure) under anesthesia |
45900 | Reduction of procidentia (separate procedure) under anesthesia |
45905 | Dilation of anal sphincter (separate procedure) under anesthesia other than local |
45910 | Dilation of rectal stricture (separate procedure) under anesthesia other than local |
45915 | Removal of fecal impaction or foreign body (separate procedure) under anesthesia |
45990 | Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic |
45999 | Unlisted procedure, rectum |