44210 Laparoscopic total proctocolectomy
Also known as: lap total proctocolectomy, lap ileoanal pouch, IPAA
Laparoscopic total proctocolectomy with creation of internal pouch (ileal pouch anal anastomosis) and temporary ileostomy for complete removal of colon and rectum with restoration of bowel function.
Clinical Context
Performed for familial adenomatous polyposis, ulcerative colitis, or other conditions requiring total proctocolectomy. IPAA restores intestinal continuity and allows potential future ileostomy reversal.
RVU Breakdown
| Work RVU | 29.34 |
| Practice Expense RVU | 13.86 |
| Malpractice RVU | 5.53 |
| Total RVU | 48.73 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Specialties
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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.