44156 Removal of colon/ileostomy
Also known as: TAC with IPAA Crohn, J-pouch for Crohn, restorative proctocolectomy Crohn
Total colectomy and proctectomy with ileal pouch-anal anastomosis (J-pouch) for Crohn disease.
In Plain Language
complete bowel removal with pouch for inflammation; bowel continuity restoration
Clinical Context
Total colectomy and proctectomy with ileoanal pouch for Crohn disease, though higher recurrence rate than with ulcerative colitis.
RVU Breakdown
| Work RVU | 36.48 |
| Total RVU | 36.48 |
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 36.48, this code ranks in the 96th percentile among Surgery codes — 4.6x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 44156?
CPT 44156 (Removal of colon/ileostomy) is a Surgery code. Total colectomy and proctectomy with ileal pouch-anal anastomosis (J-pouch) for Crohn disease.
What is the wRVU value for CPT 44156?
The work RVU for CPT 44156 is 36.48. This code is primarily used by Colorectal Surgery, General Surgery. It has a 90-day global period.
When is CPT 44156 used?
Total colectomy and proctectomy with ileoanal pouch for Crohn disease, though higher recurrence rate than with ulcerative 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.