44208 L colectomy/coloproctostomy
Also known as: lap left colectomy complex, extended lap colectomy, laparoscopic hemicolectomy, lap low anterior resection complex
Laparoscopic left colectomy with anastomosis to rectum or colorectal junction, more complex or with additional procedures such as extended dissection.
In Plain Language
camera surgery to remove part of colon with additional work; minimally invasive colon removal with extended dissection
Clinical Context
Similar to 44207 but used when more extensive dissection or handling is required due to complex anatomy, extensive disease, or need for splenic flexure mobilization.
RVU Breakdown
| Work RVU | 33.14 |
| Total RVU | 33.14 |
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 33.14, this code ranks in the 94th percentile among Surgery codes — 4.1x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 44208?
CPT 44208 (L colectomy/coloproctostomy) is a Surgery code. Laparoscopic left colectomy with anastomosis to rectum or colorectal junction, more complex or with additional procedures such as extended dissection.
What is the wRVU value for CPT 44208?
The work RVU for CPT 44208 is 33.14. This code is primarily used by Colorectal Surgery, General Surgery, Minimally Invasive Surgery. It has a 90-day global period.
When is CPT 44208 used?
Similar to 44207 but used when more extensive dissection or handling is required due to complex anatomy, extensive disease, or need for splenic flexure mobilization.
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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.