44316 Devise bowel pouch
Also known as: J-pouch creation, ileal pouch, ileal pouch-anal anastomosis, IPAA
Creation of ileal pouch from small bowel, often in conjunction with total proctocolectomy, to establish internal reservoir and restore intestinal continuity after bowel resection.
In Plain Language
surgery to create internal bowel pouch; creation of bowel bag to store waste
Clinical Context
Primarily used during total proctocolectomy for familial adenomatous polyposis or ulcerative colitis. Creates continent reservoir from terminal ileum anastomosed to anus, avoiding permanent external ostomy.
RVU Breakdown
| Work RVU | 23.00 |
| Total RVU | 23.00 |
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 23.00, this code ranks in the 86th percentile among Surgery codes — 2.9x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 44316?
CPT 44316 (Devise bowel pouch) is a Surgery code. Creation of ileal pouch from small bowel, often in conjunction with total proctocolectomy, to establish internal reservoir and restore intestinal continuity after bowel resection.
What is the wRVU value for CPT 44316?
The work RVU for CPT 44316 is 23.00. This code is primarily used by Colorectal Surgery, General Surgery. It has a 90-day global period.
When is CPT 44316 used?
Primarily used during total proctocolectomy for familial adenomatous polyposis or ulcerative colitis. Creates continent reservoir from terminal ileum anastomosed to anus, avoiding permanent external ostomy.
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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.