44377 Small bowel endoscopy/biopsy
Also known as: small bowel endoscopy with biopsy and treatment, enteroscopy biopsy and intervention
Endoscopy of small bowel performed via enterotomy with tissue biopsy and additional therapeutic intervention for comprehensive diagnosis and treatment.
In Plain Language
camera surgery to sample tissue and treat small intestine; surgical sampling with treatment
Clinical Context
Used when both diagnostic evaluation (tissue confirmation) and therapeutic intervention are required, such as biopsy of suspicious lesion with concurrent hemorrhage control.
RVU Breakdown
| Work RVU | 5.28 |
| Total RVU | 5.28 |
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 5.28, this code ranks in the 36th percentile among Surgery codes — 1.5x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 44377?
CPT 44377 (Small bowel endoscopy/biopsy) is a Surgery code. Endoscopy of small bowel performed via enterotomy with tissue biopsy and additional therapeutic intervention for comprehensive diagnosis and treatment.
What is the wRVU value for CPT 44377?
The work RVU for CPT 44377 is 5.28. This code is primarily used by Gastroenterology, General Surgery.
When is CPT 44377 used?
Used when both diagnostic evaluation (tissue confirmation) and therapeutic intervention are required, such as biopsy of suspicious lesion with concurrent hemorrhage control.
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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.