CPT® Code 45135

Excision of rectal procidentia, with anastomosis, is a surgical procedure designated by CPT® Code 45135. This procedure addresses rectal procidentia, which is characterized by a complete prolapse of the rectum, where the entire thickness of the rectal wall protrudes through the anal opening. The surgical intervention involves a combined approach, utilizing both abdominal and perineal techniques to effectively remove the prolapsed rectum and restore normal anatomy. The procedure is essential for patients suffering from this condition, as it alleviates symptoms associated with rectal prolapse, such as discomfort, incontinence, and potential complications from the prolapse itself. The operation is performed under general anesthesia, and the patient is typically positioned in lithotomy to facilitate access to the perineum and abdominal cavity. The complexity of the procedure requires careful dissection and mobilization of the rectum and surrounding structures to ensure successful excision and anastomosis, ultimately aiming to preserve the function of the anal mucosa and maintain bowel continuity.