44157 Colectomy with ileoanal anast
Also known as: colectomy with ileoanal pouch, J-pouch without proctectomy, subtotal colectomy IPAA
Total colectomy with ileoanal anastomosis (J-pouch) without proctectomy.
In Plain Language
colon removal with pouch creation; rectum-preserving bowel surgery
Clinical Context
Subtotal colectomy with ileoanal pouch creation, preserving rectum. May be staged procedure or used in selected cases.
RVU Breakdown
| Work RVU | 34.81 |
| Total RVU | 34.81 |
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 34.81, this code ranks in the 95th percentile among Surgery codes — 4.4x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 44157?
CPT 44157 (Colectomy with ileoanal anast) is a Surgery code. Total colectomy with ileoanal anastomosis (J-pouch) without proctectomy.
What is the wRVU value for CPT 44157?
The work RVU for CPT 44157 is 34.81. This code is primarily used by Colorectal Surgery, General Surgery. It has a 90-day global period.
When is CPT 44157 used?
Subtotal colectomy with ileoanal pouch creation, preserving rectum. May be staged procedure or used in selected cases.
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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.