44210 Laparoscopic total proctocolectomy
Also known as: lap total proctocolectomy, lap ileoanal pouch, IPAA, lap total colectomy
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.
In Plain Language
camera surgery to remove entire colon and rectum with pouch creation; minimally invasive total intestine removal with bowel reconstruction
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 |
| Total RVU | 29.34 |
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 29.34, this code ranks in the 92nd percentile among Surgery codes — 3.7x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 44210?
CPT 44210 (Laparoscopic total proctocolectomy) is a Surgery code. 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.
What is the wRVU value for CPT 44210?
The work RVU for CPT 44210 is 29.34. This code is primarily used by Colorectal Surgery, General Surgery, Minimally Invasive Surgery. It has a 90-day global period.
When is CPT 44210 used?
Performed for familial adenomatous polyposis, ulcerative colitis, or other conditions requiring total proctocolectomy. IPAA restores intestinal continuity and allows potential future ileostomy reversal.
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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.