44121 Removal of small intestine
Also known as: additional SB resection, second segment resection, multiple segmental resections
Add-on code for each additional segment of small intestine resected during the same operative session.
In Plain Language
additional bowel section removal; second intestine segment removal
Clinical Context
Used when multiple non-contiguous segments of small bowel are resected in same operation, or when multiple sites within same segment require resection.
RVU Breakdown
| Work RVU | 4.33 |
| Total RVU | 4.33 |
Est. Medicare Payment
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. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 4.33, this code ranks in the 30th percentile among Surgery codes — 1.8x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 44121?
CPT 44121 (Removal of small intestine) is a Surgery code. Add-on code for each additional segment of small intestine resected during the same operative session.
What is the wRVU value for CPT 44121?
The work RVU for CPT 44121 is 4.33. This code is primarily used by General Surgery, Colorectal Surgery.
When is CPT 44121 used?
Used when multiple non-contiguous segments of small bowel are resected in same operation, or when multiple sites within same segment require resection.
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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.