44155 Removal of colon/ileostomy
Also known as: TAC for Crohn disease, proctocolectomy Crohn, Crohn ileostomy creation, total proctocolectomy with ileostomy
Total colectomy and proctectomy with ileostomy creation for Crohn disease.
In Plain Language
complete bowel removal for inflammation; Crohn disease surgery with opening
Clinical Context
Total colectomy and proctectomy with ileostomy for severe or refractory Crohn colitis. Recognition that Crohn may recur in residual ileum.
RVU Breakdown
| Work RVU | 33.56 |
| Total RVU | 33.56 |
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 33.56, this code ranks in the 95th percentile among Surgery codes — 4.2x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 44155?
CPT 44155 (Removal of colon/ileostomy) is a Surgery code. Total colectomy and proctectomy with ileostomy creation for Crohn disease.
What is the wRVU value for CPT 44155?
The work RVU for CPT 44155 is 33.56. This code is primarily used by Colorectal Surgery, General Surgery. It has a 90-day global period.
When is CPT 44155 used?
Total colectomy and proctectomy with ileostomy for severe or refractory Crohn colitis. Recognition that Crohn may recur in residual ileum.
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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.