44227 Laparoscopic close enterostomy
Also known as: lap enterostomy closure, lap ileostomy takedown, lap colostomy reversal
Laparoscopic closure of enterostomy (ileostomy or colostomy) to restore intestinal continuity by taking down the ostomy and anastomosing bowel segments.
In Plain Language
camera surgery to close and reverse ostomy; minimally invasive ostomy takedown
Clinical Context
Used when ostomy is no longer needed and patient is a candidate for reversal. Less morbid than open approach with faster recovery. Common after temporary ostomies from trauma or staged procedures.
RVU Breakdown
| Work RVU | 27.90 |
| Total RVU | 27.90 |
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 27.90, this code ranks in the 91st percentile among Surgery codes — 3.5x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 44227?
CPT 44227 (Laparoscopic close enterostomy) is a Surgery code. Laparoscopic closure of enterostomy (ileostomy or colostomy) to restore intestinal continuity by taking down the ostomy and anastomosing bowel segments.
What is the wRVU value for CPT 44227?
The work RVU for CPT 44227 is 27.90. This code is primarily used by Colorectal Surgery, General Surgery, Minimally Invasive Surgery. It has a 90-day global period.
When is CPT 44227 used?
Used when ostomy is no longer needed and patient is a candidate for reversal. Less morbid than open approach with faster recovery. Common after temporary ostomies from trauma or staged procedures.
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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.