44365 Small bowel endoscopy
Also known as: small bowel endoscopy with resection, enteroscopy polypectomy, small bowel lesion removal
Endoscopy of small bowel performed via enterotomy with resection or ablation of lesion for removal of polyps, strictures, or neoplastic tissue.
In Plain Language
camera surgery to remove polyp or abnormal tissue from small intestine; surgical removal of bowel lesions
Clinical Context
Used for removal of small bowel polyps, strictures, or neoplastic lesions. Common in familial adenomatous polyposis surveillance or treatment of angiodysplasia.
RVU Breakdown
| Work RVU | 3.13 |
| Total RVU | 3.13 |
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 0-day global period, meaning pre- and post-operative E&M visits are billable separately on the same day. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 3.13, this code ranks in the 22nd percentile among Surgery codes — 2.6x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 44365?
CPT 44365 (Small bowel endoscopy) is a Surgery code. Endoscopy of small bowel performed via enterotomy with resection or ablation of lesion for removal of polyps, strictures, or neoplastic tissue.
What is the wRVU value for CPT 44365?
The work RVU for CPT 44365 is 3.13. This code is primarily used by Gastroenterology, General Surgery.
When is CPT 44365 used?
Used for removal of small bowel polyps, strictures, or neoplastic lesions. Common in familial adenomatous polyposis surveillance or treatment of angiodysplasia.
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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.