44151 Removal of colon/ileostomy
Also known as: TAC with ileostomy, proctocolectomy with ostomy, total ostomy creation
Total colectomy and proctectomy with ileostomy creation for familial adenomatous polyposis or ulcerative colitis.
In Plain Language
complete colon and rectum removal with opening; permanent bowel diversion
Clinical Context
Total removal of colon and rectum with creation of ileostomy for FAP, ulcerative colitis, or Crohn colitis.
RVU Breakdown
| Work RVU | 34.05 |
| Total RVU | 34.05 |
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 34.05, 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 44151?
CPT 44151 (Removal of colon/ileostomy) is a Surgery code. Total colectomy and proctectomy with ileostomy creation for familial adenomatous polyposis or ulcerative colitis.
What is the wRVU value for CPT 44151?
The work RVU for CPT 44151 is 34.05. This code is primarily used by Colorectal Surgery, General Surgery. It has a 90-day global period.
When is CPT 44151 used?
Total removal of colon and rectum with creation of ileostomy for FAP, ulcerative colitis, or Crohn colitis.
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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.