44320 Colostomy
Also known as: colostomy, open colostomy, end colostomy, loop colostomy
Open creation of colostomy (colon-to-skin opening) for permanent or temporary diversion of colonic contents to abdominal wall stoma.
In Plain Language
surgery to create opening from colon to skin; creation of bowel opening on abdomen
Clinical Context
Performed for colorectal cancer, inflammatory bowel disease, trauma, familial adenomatous polyposis, or pelvic dysfunction when restoration of continuity is not feasible or not desired.
RVU Breakdown
| Work RVU | 19.41 |
| Total RVU | 19.41 |
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 19.41, this code ranks in the 81st percentile among Surgery codes — 2.4x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 44320?
CPT 44320 (Colostomy) is a Surgery code. Open creation of colostomy (colon-to-skin opening) for permanent or temporary diversion of colonic contents to abdominal wall stoma.
What is the wRVU value for CPT 44320?
The work RVU for CPT 44320 is 19.41. This code is primarily used by Colorectal Surgery, General Surgery. It has a 90-day global period.
When is CPT 44320 used?
Performed for colorectal cancer, inflammatory bowel disease, trauma, familial adenomatous polyposis, or pelvic dysfunction when restoration of continuity is not feasible or not desired.
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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.