CPT® Code 45910

The CPT® Code 45910 refers to the procedure of dilation of a rectal stricture, which is performed under anesthesia other than local anesthesia. A rectal stricture is a narrowing of the rectum that can lead to difficulties in bowel movements and other complications. This procedure aims to alleviate these issues by widening the constricted area. The dilation can be achieved through manual techniques, similar to those described in CPT® Code 45905, or by utilizing specialized instruments such as a balloon dilator. In the balloon dilation method, fluoroscopic guidance is often employed to ensure accurate placement and effective treatment of the stricture. The procedure involves the introduction of a feeding catheter into the rectum, which may be used to inject a contrast agent that helps visualize the stricture. Following this, a guidewire is advanced through the catheter to facilitate the placement of a balloon catheter, which is then inflated to expand the narrowed area. The inflation and deflation of the balloon are repeated as necessary to achieve the desired dilation, ultimately improving the patient's ability to pass stool and enhancing their quality of life.