44390 Colonoscopy for foreign body
Also known as: colonoscopy stoma foreign body removal, transcolostomy foreign body extraction
Colonoscopy performed through colostomy stoma for removal of foreign body from colon or rectum.
In Plain Language
camera removal of swallowed object from colon via colostomy; foreign object removal through stoma
Clinical Context
Used to remove foreign bodies from colon or rectum via transcolostomy approach in patients with prior colostomy who have ingested or have aspirated material.
RVU Breakdown
| Work RVU | 3.65 |
| Total RVU | 3.65 |
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 3.65, this code ranks in the 25th percentile among Surgery codes — 2.2x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 44390?
CPT 44390 (Colonoscopy for foreign body) is a Surgery code. Colonoscopy performed through colostomy stoma for removal of foreign body from colon or rectum.
What is the wRVU value for CPT 44390?
The work RVU for CPT 44390 is 3.65. This code is primarily used by Gastroenterology, Colorectal Surgery.
When is CPT 44390 used?
Used to remove foreign bodies from colon or rectum via transcolostomy approach in patients with prior colostomy who have ingested or have aspirated material.
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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.