44186 Laparoscopic jejunostomy
Also known as: lap jejunostomy, laparoscopic feeding jejunostomy, lap J-tube
Laparoscopic creation of jejunal feeding access (jejunostomy) for enteral nutrition support.
In Plain Language
laparoscopic small intestine feeding tube; minimally invasive jejunal access
Clinical Context
Laparoscopic creation of jejunal access for enteral feeding when gastric route unavailable or contraindicated (gastric outlet obstruction, aspiration risk).
RVU Breakdown
| Work RVU | 10.12 |
| Total RVU | 10.12 |
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 10.12, this code ranks in the 59th percentile among Surgery codes — 1.3x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 44186?
CPT 44186 (Laparoscopic jejunostomy) is a Surgery code. Laparoscopic creation of jejunal feeding access (jejunostomy) for enteral nutrition support.
What is the wRVU value for CPT 44186?
The work RVU for CPT 44186 is 10.12. This code is primarily used by General Surgery. It has a 90-day global period.
When is CPT 44186 used?
Laparoscopic creation of jejunal access for enteral feeding when gastric route unavailable or contraindicated (gastric outlet obstruction, aspiration risk).
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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.