44145 Partial removal of colon
Also known as: partial colectomy with ostomy and anastomosis, complex partial colectomy, reconstruction with stoma, low anterior resection, colectomy with proctectomy
Partial colectomy with colostomy or ileostomy and intracorporeal or extracorporeal anastomosis.
In Plain Language
colon removal with new openings; complex colon surgery
Clinical Context
Resection with creation of both anastomosis and stoma, may be staged procedure or result of resection for multiple pathology sites.
RVU Breakdown
| Work RVU | 27.87 |
| Total RVU | 27.87 |
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. 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 27.87, this code ranks in the 91st percentile among Surgery codes — 3.5x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 44145?
CPT 44145 (Partial removal of colon) is a Surgery code. Partial colectomy with colostomy or ileostomy and intracorporeal or extracorporeal anastomosis.
What is the wRVU value for CPT 44145?
The work RVU for CPT 44145 is 27.87. This code is primarily used by General Surgery, Colorectal Surgery. It has a 90-day global period.
When is CPT 44145 used?
Resection with creation of both anastomosis and stoma, may be staged procedure or result of resection for multiple pathology sites.
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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.