44403 Colonoscopy with resection
Also known as: colonoscopy stoma mucosal resection, transcolostomy endoscopic resection
Colonoscopy performed through colostomy stoma with endoscopic mucosal resection for complete removal of lesion with tissue submission for pathology.
In Plain Language
camera removal of superficial tissue from colon through colostomy; endoscopic resection via stoma
Clinical Context
Used for removal of precancerous lesions or early cancers in colon/rectum of patients with colostomy. Allows en bloc resection with margin assessment.
RVU Breakdown
| Work RVU | 5.36 |
| Total RVU | 5.36 |
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 5.36, this code ranks in the 36th percentile among Surgery codes — 1.5x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 44403?
CPT 44403 (Colonoscopy with resection) is a Surgery code. Colonoscopy performed through colostomy stoma with endoscopic mucosal resection for complete removal of lesion with tissue submission for pathology.
What is the wRVU value for CPT 44403?
The work RVU for CPT 44403 is 5.36. This code is primarily used by Gastroenterology, Colorectal Surgery.
When is CPT 44403 used?
Used for removal of precancerous lesions or early cancers in colon/rectum of patients with colostomy. Allows en bloc resection with margin assessment.
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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.