44346 Revision of colostomy
Also known as: colostomy revision, complex colostomy revision, colostomy reconstruction
Revision of colostomy with major reconstruction including significant relocation, revision of stoma site, or restoration of substantial bowel continuity.
In Plain Language
extensive surgery to rebuild colostomy; major ostomy repair and reconstruction
Clinical Context
Used for complex colostomy revisions requiring major reconstruction or significant relocation of stoma. Typically follows failed simpler revisions or involves restoration of continuity.
RVU Breakdown
| Work RVU | 19.14 |
| Total RVU | 19.14 |
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 19.14, 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 44346?
CPT 44346 (Revision of colostomy) is a Surgery code. Revision of colostomy with major reconstruction including significant relocation, revision of stoma site, or restoration of substantial bowel continuity.
What is the wRVU value for CPT 44346?
The work RVU for CPT 44346 is 19.14. This code is primarily used by Colorectal Surgery, General Surgery. It has a 90-day global period.
When is CPT 44346 used?
Used for complex colostomy revisions requiring major reconstruction or significant relocation of stoma. Typically follows failed simpler revisions or involves restoration of continuity.
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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.