44150 Removal of colon
Also known as: total colectomy with permanent ileostomy, procto-colectomy with ileostomy, permanent ostomy, total abdominal colectomy
Total removal of colon and rectum via open approach with creation of permanent ileostomy.
In Plain Language
complete colon removal with external pouch; permanent bowel opening
Clinical Context
Complete colectomy and proctectomy with permanent ileostomy creation. Used for extensive disease, familial polyposis, or when sphincter preservation not possible.
RVU Breakdown
| Work RVU | 29.43 |
| Total RVU | 29.43 |
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 29.43, this code ranks in the 92nd percentile among Surgery codes — 3.7x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 44150?
CPT 44150 (Removal of colon) is a Surgery code. Total removal of colon and rectum via open approach with creation of permanent ileostomy.
What is the wRVU value for CPT 44150?
The work RVU for CPT 44150 is 29.43. This code is primarily used by Colorectal Surgery, General Surgery. It has a 90-day global period.
When is CPT 44150 used?
Complete colectomy and proctectomy with permanent ileostomy creation. Used for extensive disease, familial polyposis, or when sphincter preservation not possible.
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.