CPT code 45505 covers excision of prolapsed rectal mucosa with repair using adjacent tissue flaps, a reconstructive anorectal surgical procedure. This code is used for definitive surgical management of rectal mucosal prolapse and is relevant for hospitals and ambulatory surgical centers that provide colorectal and general surgery services. Nationally, proper coding of this procedure affects surgical quality reporting, facility reimbursement, and utilization tracking for anorectal reconstructive care.

Key payers in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical context for the procedure, typical sites of service, and payer coverage considerations. The publication also presents benchmarks for utilization and reimbursement patterns, outlines common billing modifiers used with operative procedures, and summarizes policy or coding updates that affect billing practice.

The content helps clinical coders, billing managers, and health policy analysts understand how CPT code 45505 is applied in practice, what documentation supports appropriate use, and where to look for payer-specific rules. Data not available in the input will be explicitly noted where applicable in detailed sections.