44147 Partial removal of colon
Also known as: total proctocolectomy with IPAA, J-pouch surgery, restorative proctocolectomy, J-pouch, ileal pouch
Total abdominal colectomy with ileoanal anastomosis (J-pouch) with or without temporary diverting ileostomy.
In Plain Language
colon removal with bowel pouch creation; bowel function preservation surgery
Clinical Context
Removal of colon and rectum with creation of ileal pouch anastomosed to anus for inflammatory bowel disease. Preserves continence while removing diseased bowel.
RVU Breakdown
| Work RVU | 32.85 |
| Total RVU | 32.85 |
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 32.85, this code ranks in the 94th percentile among Surgery codes — 4.1x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 44147?
CPT 44147 (Partial removal of colon) is a Surgery code. Total abdominal colectomy with ileoanal anastomosis (J-pouch) with or without temporary diverting ileostomy.
What is the wRVU value for CPT 44147?
The work RVU for CPT 44147 is 32.85. This code is primarily used by Colorectal Surgery, General Surgery. It has a 90-day global period.
When is CPT 44147 used?
Removal of colon and rectum with creation of ileal pouch anastomosed to anus for inflammatory bowel disease. Preserves continence while removing diseased bowel.
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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.