44300 Open bowel to skin
Also known as: open ileostomy, open enterostomy, open bowel fistula
Open creation of ileostomy or other bowel-to-skin fistula to create stoma for diversion of intestinal contents, performed via open surgical approach.
In Plain Language
surgery to create opening from small intestine to skin; creation of bag opening on abdomen
Clinical Context
Used for bowel diversion when laparoscopic approach is not feasible or for emergency situations. Common indications include familial adenomatous polyposis, ulcerative colitis, trauma, or malignancy.
RVU Breakdown
| Work RVU | 13.41 |
| Total RVU | 13.41 |
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 13.41, this code ranks in the 69th percentile among Surgery codes — 1.7x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 44300?
CPT 44300 (Open bowel to skin) is a Surgery code. Open creation of ileostomy or other bowel-to-skin fistula to create stoma for diversion of intestinal contents, performed via open surgical approach.
What is the wRVU value for CPT 44300?
The work RVU for CPT 44300 is 13.41. This code is primarily used by Colorectal Surgery, General Surgery. It has a 90-day global period.
When is CPT 44300 used?
Used for bowel diversion when laparoscopic approach is not feasible or for emergency situations. Common indications include familial adenomatous polyposis, ulcerative colitis, trauma, or malignancy.
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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.