44404 Colonoscopy with injection
Also known as: colonoscopy stoma injection, transcolostomy injection therapy
Colonoscopy performed through colostomy stoma with injection therapy for endoscopic treatment of bleeding or delivery of therapeutic agents.
In Plain Language
camera injection of medicine into bleeding area through colostomy; injection therapy via stoma
Clinical Context
Used for treatment of active bleeding or vascular lesions in colon/rectum of patients with colostomy via epinephrine injection or other hemostatic agents.
RVU Breakdown
| Work RVU | 2.94 |
| Total RVU | 2.94 |
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 2.94, this code ranks in the 21st percentile among Surgery codes — 2.7x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 44404?
CPT 44404 (Colonoscopy with injection) is a Surgery code. Colonoscopy performed through colostomy stoma with injection therapy for endoscopic treatment of bleeding or delivery of therapeutic agents.
What is the wRVU value for CPT 44404?
The work RVU for CPT 44404 is 2.94. This code is primarily used by Gastroenterology, Colorectal Surgery.
When is CPT 44404 used?
Used for treatment of active bleeding or vascular lesions in colon/rectum of patients with colostomy via epinephrine injection or other hemostatic agents.
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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.