44392 Colonoscopy & polypectomy
Also known as: colonoscopy stoma polypectomy, transcolostomy polyp removal
Colonoscopy performed through colostomy stoma with polypectomy for removal of polyps via snare technique.
In Plain Language
camera removal of polyp from colon through colostomy; polyp removal via stoma
Clinical Context
Used for removal of colonic polyps detected during surveillance or diagnostic colonoscopy in patients with colostomy. Prevents progression to malignancy.
RVU Breakdown
| Work RVU | 3.44 |
| Total RVU | 3.44 |
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 3.44, this code ranks in the 24th percentile among Surgery codes — 2.3x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 44392?
CPT 44392 (Colonoscopy & polypectomy) is a Surgery code. Colonoscopy performed through colostomy stoma with polypectomy for removal of polyps via snare technique.
What is the wRVU value for CPT 44392?
The work RVU for CPT 44392 is 3.44. This code is primarily used by Gastroenterology, Colorectal Surgery.
When is CPT 44392 used?
Used for removal of colonic polyps detected during surveillance or diagnostic colonoscopy in patients with colostomy. Prevents progression to malignancy.
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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.