How To Use CPT Code 45900

CPT 45900 describes the reduction of procidentia under anesthesia, which involves manually pushing a rectal prolapse inside the anal canal while the patient is under general anesthesia. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 45900?

CPT 45900 is used to describe the reduction of procidentia, which is the complete inside-out prolapse of the rectum, under anesthesia. During this procedure, a qualified healthcare provider applies manual pressure to push the prolapsed rectum back inside the body through the anal canal. This code should only be reported if no other major procedure is performed in the same location and session.

2. Official Description

The official description of CPT code 45900 is: ‘Reduction of procidentia (separate procedure) under anesthesia.’

3. Procedure

1. After appropriate prepping and anesthesia, the healthcare provider applies manual pressure to the prolapsed rectum to push it back inside the body through the anal canal.
2. If necessary, the provider may also irrigate the area with antibiotics after complete reduction.

4. Qualifying circumstances

CPT 45900 is performed when a patient presents with a complete inside-out prolapse of the rectum, known as procidentia. The procedure is done under anesthesia to ensure patient comfort and cooperation. It is important to note that this code should not be reported if any other major procedure is performed in the same location and session.

5. When to use CPT code 45900

CPT code 45900 should be used when a qualified healthcare provider performs the reduction of procidentia under anesthesia as a separate procedure. It should not be reported if any other major procedure is performed in the same location and session.

6. Documentation requirements

To support a claim for CPT 45900, the healthcare provider must document the following information:

• Patient’s diagnosis of procidentia
• Details of the reduction procedure performed
• Date and time of the procedure
• Any additional procedures performed during the same session
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT 45900, ensure that the procedure is performed as a separate procedure and no other major procedure is performed in the same location and session. It is important to follow the specific guidelines provided by the payer to ensure accurate billing and reimbursement.

8. Historical information

CPT 45900 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates to the code since its addition.

9. Examples

1. A healthcare provider performs the reduction of procidentia under anesthesia for a patient with a complete rectal prolapse.
2. During a surgical procedure, a qualified surgeon manually pushes the prolapsed rectum back inside the anal canal while the patient is under general anesthesia.
3. A patient with procidentia undergoes a separate procedure in which a healthcare provider reduces the prolapse under anesthesia.
4. Under general anesthesia, a qualified healthcare provider performs the reduction of procidentia for a patient with a complete rectal prolapse.
5. A surgeon applies manual pressure to push the prolapsed rectum back inside the body through the anal canal while the patient is under anesthesia.
6. During a separate procedure, a healthcare provider reduces the procidentia under anesthesia for a patient with a complete rectal prolapse.
7. A patient with a complete rectal prolapse undergoes the reduction procedure under anesthesia performed by a qualified healthcare provider.
8. Under general anesthesia, a healthcare provider manually pushes the prolapsed rectum back inside the anal canal for a patient with procidentia.
9. A qualified surgeon performs the reduction of procidentia under anesthesia for a patient with a complete rectal prolapse.
10. A separate procedure is performed under anesthesia to reduce the procidentia for a patient with a complete rectal prolapse.