Home
Career Stage
Medical Students Residents Attendings CPT Codes Resources Blog Support

44005 Freeing of bowel adhesion

Surgery Global 90d

Also known as: adhesiolysis, lysis of adhesions, enterolysis

Freeing of adhesions between bowel loops via open approach without resection of affected intestine.

In Plain Language

scar tissue removal; bowel freeing surgery

Clinical Context

Release of fibrous adhesions connecting bowel loops, typically from prior abdominal surgery or inflammation. May be performed to relieve bowel obstruction or pain.

RVU Breakdown

Work RVU18.00
Total RVU18.00

Est. Medicare Payment

$601.20

National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).

Billing & Documentation

As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.

How This Code Compares

With a work RVU of 18.00, this code ranks in the 79th percentile among Surgery codes — 2.3x the median (8.00). The highest wRVU in this category is 106.19.

Specialties

General Surgery

Frequently Asked Questions

What is CPT code 44005?

CPT 44005 (Freeing of bowel adhesion) is a Surgery code. Freeing of adhesions between bowel loops via open approach without resection of affected intestine.

What is the wRVU value for CPT 44005?

The work RVU for CPT 44005 is 18.00. This code is primarily used by General Surgery. It has a 90-day global period.

When is CPT 44005 used?

Release of fibrous adhesions connecting bowel loops, typically from prior abdominal surgery or inflammation. May be performed to relieve bowel obstruction or pain.

Track This Code in RVU Edge

Log procedures, calculate wRVUs, and benchmark against MGMA data — all in one app.

CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.