44406 Colonoscopy with ultrasound
Also known as: colonoscopy stoma ultrasound, transcolostomy endoscopic ultrasound
Colonoscopy performed through colostomy stoma with ultrasound imaging for enhanced visualization and characterization of lesions and wall thickness.
In Plain Language
camera and ultrasound examination of colon through colostomy; ultrasound imaging via stoma
Clinical Context
Used for detailed imaging of colonic lesions or assessment of wall invasion in patients with colostomy. Helps stage neoplasms and evaluate strictures.
RVU Breakdown
| Work RVU | 4.00 |
| Total RVU | 4.00 |
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 4.00, 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 44406?
CPT 44406 (Colonoscopy with ultrasound) is a Surgery code. Colonoscopy performed through colostomy stoma with ultrasound imaging for enhanced visualization and characterization of lesions and wall thickness.
What is the wRVU value for CPT 44406?
The work RVU for CPT 44406 is 4.00. This code is primarily used by Gastroenterology, Colorectal Surgery.
When is CPT 44406 used?
Used for detailed imaging of colonic lesions or assessment of wall invasion in patients with colostomy. Helps stage neoplasms and evaluate strictures.
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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.