44366 Small bowel endoscopy
Also known as: small bowel endoscopy with ultrasound, enteroscopy with EUS, intraoperative ultrasound
Endoscopy of small bowel performed via enterotomy with endoscopic ultrasound examination for enhanced imaging evaluation of bowel wall and adjacent structures.
In Plain Language
camera and ultrasound examination of small intestine; surgical ultrasound evaluation of bowel
Clinical Context
Used for detailed imaging of small bowel pathology including evaluation of wall thickness, lymph nodes, or adjacent structures. Helps determine depth of invasion in malignancy.
RVU Breakdown
| Work RVU | 4.19 |
| Total RVU | 4.19 |
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 4.19, this code ranks in the 29th percentile among Surgery codes — 1.9x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 44366?
CPT 44366 (Small bowel endoscopy) is a Surgery code. Endoscopy of small bowel performed via enterotomy with endoscopic ultrasound examination for enhanced imaging evaluation of bowel wall and adjacent structures.
What is the wRVU value for CPT 44366?
The work RVU for CPT 44366 is 4.19. This code is primarily used by Gastroenterology, General Surgery.
When is CPT 44366 used?
Used for detailed imaging of small bowel pathology including evaluation of wall thickness, lymph nodes, or adjacent structures. Helps determine depth of invasion in 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.