Headline: New Profile — CPT code 45540 captures abdominal rectopexy with mesh and sutures for rectal prolapse

Lead: CPT code 45540 identifies a surgical repair of rectal prolapse performed through a lower abdominal incision using sutures and mesh. The code denotes an operative abdominal rectopexy approach and is relevant to surgeons, hospital billing teams, and national payers managing coverage for colorectal surgical care.

Why it matters: Rectal prolapse procedures are resource-intensive operations with implications for inpatient utilization, device use (mesh), and postoperative care. Accurate coding of abdominal rectopexy affects claim adjudication, quality reporting, and aggregated procedure volumes nationwide.

Payers covered: Analysis includes major national payers — Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare.

What readers will learn: The publication provides benchmarks and context for CPT code 45540 including national utilization patterns, expected sites of service, and clinical context for abdominal rectopexy using mesh and sutures. It summarizes payer coverage considerations and common billing modifiers where available. Policy updates, reimbursement trends, and clinical indications that influence coding for rectal prolapse repair are presented to inform billing accuracy and administrative planning.

Scope: Content is written for a national audience of clinicians, billing professionals, and policy analysts seeking concise, operational guidance about coding and payer considerations for abdominal rectopexy with mesh.