44407 Colonoscopy with needle aspiration/biopsy
Also known as: colonoscopy stoma ultrasound biopsy, transcolostomy EUS biopsy
Colonoscopy performed through colostomy stoma with endoscopic ultrasound-guided needle aspiration and biopsy for tissue sampling under ultrasound guidance.
In Plain Language
camera ultrasound with needle sampling through colostomy; guided tissue sampling via stoma
Clinical Context
Used for tissue sampling of submucosal lesions or lymph nodes in colon/rectum of patients with colostomy under ultrasound guidance for accurate needle placement.
RVU Breakdown
| Work RVU | 4.84 |
| Total RVU | 4.84 |
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 4.84, this code ranks in the 33rd percentile among Surgery codes — 1.7x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 44407?
CPT 44407 (Colonoscopy with needle aspiration/biopsy) is a Surgery code. Colonoscopy performed through colostomy stoma with endoscopic ultrasound-guided needle aspiration and biopsy for tissue sampling under ultrasound guidance.
What is the wRVU value for CPT 44407?
The work RVU for CPT 44407 is 4.84. This code is primarily used by Gastroenterology, Colorectal Surgery.
When is CPT 44407 used?
Used for tissue sampling of submucosal lesions or lymph nodes in colon/rectum of patients with colostomy under ultrasound guidance for accurate needle placement.
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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.