44386 Endoscopy bowel pouch/biop
Also known as: pouch endoscopy with biopsy, J-pouch biopsy, pouchitis evaluation
Endoscopy of ileal pouch performed with tissue biopsy for histopathologic examination to diagnose pouchitis, dysplasia, or other mucosal pathology.
In Plain Language
camera examination of bowel pouch with tissue sample; pouch inspection with biopsy
Clinical Context
Used to confirm diagnosis of pouchitis through histology or to assess for dysplasia in ileal pouch, particularly in patients with history of inflammatory bowel disease.
RVU Breakdown
| Work RVU | 1.46 |
| Total RVU | 1.46 |
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 1.46, this code ranks in the 9th percentile among Surgery codes — 5.5x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 44386?
CPT 44386 (Endoscopy bowel pouch/biop) is a Surgery code. Endoscopy of ileal pouch performed with tissue biopsy for histopathologic examination to diagnose pouchitis, dysplasia, or other mucosal pathology.
What is the wRVU value for CPT 44386?
The work RVU for CPT 44386 is 1.46. This code is primarily used by Colorectal Surgery, Gastroenterology.
When is CPT 44386 used?
Used to confirm diagnosis of pouchitis through histology or to assess for dysplasia in ileal pouch, particularly in patients with history of inflammatory bowel disease.
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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.