CPT® Code 45915

The procedure described by CPT® Code 45915 pertains to the removal of fecal impaction or a foreign body from the rectum, performed under anesthesia. Fecal impaction is a condition characterized by the accumulation of a large, hard mass of stool in the rectum, often resulting from severe constipation. This condition can lead to significant discomfort and an inability for the patient to pass stool naturally. In some cases, foreign bodies may be present in the rectum, which can occur due to various reasons, including insertion during sexual activity or attempts to conceal items such as weapons or contraband substances. The procedure is conducted under general anesthesia to ensure the patient's comfort and minimize pain during the intervention. The clinician begins by inserting a gloved finger into the rectum to assess the situation and break up the impacted stool into smaller pieces, facilitating their removal. For foreign bodies, a rectal examination may reveal low-lying objects that can be palpated. Once located, specialized tools such as forceps or a snare are employed to grasp and extract the foreign body. In instances where a vacuum effect is present around the object, a Foley catheter may be utilized; it is inserted beyond the foreign body, and the balloon is inflated to disrupt the vacuum, allowing for successful removal of the object.