44146 Partial removal of colon
Also known as: total colectomy with proctectomy, total proctocolectomy, TAC with proctectomy, total colectomy
Open total abdominal colectomy with proctectomy (removal of entire colon and rectum).
In Plain Language
complete colon and rectum removal; total bowel surgery
Clinical Context
Removal of entire colon and rectum via open approach. Used for familial polyposis, ulcerative colitis, or extensive colorectal malignancy.
RVU Breakdown
| Work RVU | 34.42 |
| Total RVU | 34.42 |
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 34.42, this code ranks in the 95th percentile among Surgery codes — 4.3x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 44146?
CPT 44146 (Partial removal of colon) is a Surgery code. Open total abdominal colectomy with proctectomy (removal of entire colon and rectum).
What is the wRVU value for CPT 44146?
The work RVU for CPT 44146 is 34.42. This code is primarily used by General Surgery, Colorectal Surgery, Surgical Oncology. It has a 90-day global period.
When is CPT 44146 used?
Removal of entire colon and rectum via open approach. Used for familial polyposis, ulcerative colitis, or extensive colorectal malignancy.
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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.