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.
In Plain Language
camera surgery to remove entire colon and rectum with bowel pouch; minimally invasive intestine removal with reconstruction
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 |
| Total RVU | 33.72 |
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 33.72, this code ranks in the 95th percentile among Surgery codes — 4.2x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 44212?
CPT 44212 (Laparoscopic total proctocolectomy) is a Surgery code. Laparoscopic total proctocolectomy with creation of internal pouch (ileal pouch anal anastomosis) without temporary ileostomy for complete removal of colon and rectum.
What is the wRVU value for CPT 44212?
The work RVU for CPT 44212 is 33.72. This code is primarily used by Colorectal Surgery, General Surgery, Minimally Invasive Surgery. It has a 90-day global period.
When is CPT 44212 used?
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.
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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.