44187 Laparoscopic ileo/jejuno-stomy
Also known as: lap ileostomy, laparoscopic stoma creation, lap ileojejunostomy
Laparoscopic creation of ileostomy or jejunostomy for bowel diversion and stoma creation.
In Plain Language
laparoscopic bowel opening creation; minimally invasive stoma placement
Clinical Context
Laparoscopic creation of small bowel stoma (ileostomy or jejunostomy) for bowel diversion in patients unable to undergo colectomy with anastomosis.
RVU Breakdown
| Work RVU | 16.97 |
| Total RVU | 16.97 |
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 16.97, this code ranks in the 77th percentile among Surgery codes — 2.1x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 44187?
CPT 44187 (Laparoscopic ileo/jejuno-stomy) is a Surgery code. Laparoscopic creation of ileostomy or jejunostomy for bowel diversion and stoma creation.
What is the wRVU value for CPT 44187?
The work RVU for CPT 44187 is 16.97. This code is primarily used by General Surgery, Colorectal Surgery. It has a 90-day global period.
When is CPT 44187 used?
Laparoscopic creation of small bowel stoma (ileostomy or jejunostomy) for bowel diversion in patients unable to undergo colectomy with anastomosis.
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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.