CPT Code 45990

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


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Scott Painter has extensive experience with medical coding information. He is one of the original developers of CodingToday.com and continues to be responsible for all the development, data acquisition and quality control. He believes that correct coding and documentation is one of the cornerstones of quality patient care. His mission is simple: using technology and data to help physicians and staff maximize their reimbursement and save time and money.