44378 Small bowel endoscopy
Also known as: small bowel endoscopy with extensive biopsy, enteroscopy detailed examination
Endoscopy of small bowel performed via enterotomy with tissue biopsy for histopathologic examination and comprehensive intraoperative assessment of small bowel pathology.
In Plain Language
camera surgery to thoroughly examine and sample small intestine; surgical evaluation with multiple tissue samples
Clinical Context
Used for comprehensive evaluation of small bowel pathology requiring multiple biopsies or more extensive examination time for diagnosis of diffuse disease or mapping lesions.
RVU Breakdown
| Work RVU | 6.84 |
| Total RVU | 6.84 |
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 6.84, this code ranks in the 44th percentile among Surgery codes — 1.2x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 44378?
CPT 44378 (Small bowel endoscopy) is a Surgery code. Endoscopy of small bowel performed via enterotomy with tissue biopsy for histopathologic examination and comprehensive intraoperative assessment of small bowel pathology.
What is the wRVU value for CPT 44378?
The work RVU for CPT 44378 is 6.84. This code is primarily used by Gastroenterology, General Surgery.
When is CPT 44378 used?
Used for comprehensive evaluation of small bowel pathology requiring multiple biopsies or more extensive examination time for diagnosis of diffuse disease or mapping lesions.
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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.