44158 Colectomy with neo-rectum pouch
Also known as: J-pouch creation, neorectum creation, pouch construction
Total colectomy with creation of neorectum or ileal pouch (J-pouch) for bowel continuity restoration.
In Plain Language
new pouch creation from intestine; bowel function restoration surgery
Clinical Context
Surgical creation of ileal reservoir (J-pouch, S-pouch, or W-pouch) to serve as neorectum after total colectomy for restoration of intestinal continuity.
RVU Breakdown
| Work RVU | 35.78 |
| Total RVU | 35.78 |
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 35.78, this code ranks in the 96th percentile among Surgery codes — 4.5x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 44158?
CPT 44158 (Colectomy with neo-rectum pouch) is a Surgery code. Total colectomy with creation of neorectum or ileal pouch (J-pouch) for bowel continuity restoration.
What is the wRVU value for CPT 44158?
The work RVU for CPT 44158 is 35.78. This code is primarily used by Colorectal Surgery, General Surgery. It has a 90-day global period.
When is CPT 44158 used?
Surgical creation of ileal reservoir (J-pouch, S-pouch, or W-pouch) to serve as neorectum after total colectomy for restoration of intestinal continuity.
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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.