44212 Laparoscopic total proctocolectomy
Also known as: lap total proctocolectomy IPAA, lap ileoanal pouch, lap J-pouch
Laparoscopic total proctocolectomy with creation of internal pouch (ileal pouch anal anastomosis) without temporary ileostomy for complete removal of colon and rectum.
Clinical Context
Similar to 44210 but performed without need for temporary ileostomy, typically indicating surgeon confidence in immediate pouch function. Used for familial adenomatous polyposis and ulcerative colitis.
RVU Breakdown
| Work RVU | 33.72 |
| Practice Expense RVU | 16.01 |
| Malpractice RVU | 6.02 |
| Total RVU | 55.75 |
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.