44391 Colonoscopy for bleeding
Also known as: colonoscopy stoma hemorrhage control, transcolostomy bleeding treatment
Colonoscopy performed through colostomy stoma for control of hemorrhage via hemostatic intervention such as cauterization or injection therapy.
In Plain Language
camera surgery to stop colon bleeding through colostomy; bleeding control via stoma
Clinical Context
Used for treatment of lower gastrointestinal bleeding in patients with colostomy when bleeding source is identified in remaining colon or rectum.
RVU Breakdown
| Work RVU | 4.02 |
| Total RVU | 4.02 |
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 4.02, this code ranks in the 28th percentile among Surgery codes — 2.0x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 44391?
CPT 44391 (Colonoscopy for bleeding) is a Surgery code. Colonoscopy performed through colostomy stoma for control of hemorrhage via hemostatic intervention such as cauterization or injection therapy.
What is the wRVU value for CPT 44391?
The work RVU for CPT 44391 is 4.02. This code is primarily used by Gastroenterology, Colorectal Surgery.
When is CPT 44391 used?
Used for treatment of lower gastrointestinal bleeding in patients with colostomy when bleeding source is identified in remaining colon or 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.