CPT® Code 45130

Excision of rectal procidentia, coded as CPT® 45130, refers to a surgical procedure aimed at addressing a complete prolapse of the rectum, known as rectal procidentia. This condition involves the rectum protruding through the anal opening, which can lead to various complications, including discomfort, incontinence, and difficulty with bowel movements. The procedure is performed via a perineal approach, which involves accessing the rectum through an incision made in the perineum, the area between the anus and the genitals. During the excision, the surgeon removes the prolapsed section of the rectum while preserving the anal mucosa and a short segment of the proximal rectum. This technique is also referred to as the Altemeier procedure or proctosigmoidectomy, highlighting its significance in rectal surgery. The patient is typically positioned in lithotomy, allowing for optimal access to the surgical site. The procedure is designed to restore normal anatomy and function, alleviating the symptoms associated with rectal procidentia.