44388 Colonoscopy thru stoma spx
Also known as: colonoscopy through colostomy, colonoscopy via stoma, transcolostomy colonoscopy, colonoscopy diagnostic, diagnostic colonoscopy
Colonoscopy performed through colostomy stoma for visualization of colon and rectum via transcolostomy approach in patient with prior colostomy.
In Plain Language
camera examination of colon through colostomy opening; colonoscopy through abdominal opening
Clinical Context
Used in patients with prior colostomy to perform surveillance colonoscopy or evaluate for bleeding, strictures, or neoplasia in remaining colon and rectum.
RVU Breakdown
| Work RVU | 2.65 |
| Total RVU | 2.65 |
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 2.65, this code ranks in the 18th percentile among Surgery codes — 3.0x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 44388?
CPT 44388 (Colonoscopy thru stoma spx) is a Surgery code. Colonoscopy performed through colostomy stoma for visualization of colon and rectum via transcolostomy approach in patient with prior colostomy.
What is the wRVU value for CPT 44388?
The work RVU for CPT 44388 is 2.65. This code is primarily used by Gastroenterology, Colorectal Surgery.
When is CPT 44388 used?
Used in patients with prior colostomy to perform surveillance colonoscopy or evaluate for bleeding, strictures, or neoplasia in remaining colon and rectum.
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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.