44405 Colonoscopy with dilation
Also known as: colonoscopy stoma dilation, transcolostomy stricture dilation
Colonoscopy performed through colostomy stoma with dilation of stricture using balloon or mechanical dilator for relief of obstruction.
In Plain Language
camera stretching of narrow colon through colostomy; stricture dilation via stoma
Clinical Context
Used for treatment of strictures in colon/rectum of patients with colostomy. Balloon or mechanical dilation relieves obstruction and restores lumen patency.
RVU Breakdown
| Work RVU | 3.15 |
| Total RVU | 3.15 |
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 3.15, this code ranks in the 22nd percentile among Surgery codes — 2.5x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 44405?
CPT 44405 (Colonoscopy with dilation) is a Surgery code. Colonoscopy performed through colostomy stoma with dilation of stricture using balloon or mechanical dilator for relief of obstruction.
What is the wRVU value for CPT 44405?
The work RVU for CPT 44405 is 3.15. This code is primarily used by Gastroenterology, Colorectal Surgery.
When is CPT 44405 used?
Used for treatment of strictures in colon/rectum of patients with colostomy. Balloon or mechanical dilation relieves obstruction and restores lumen patency.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against MGMA data — all in one app.
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.