44408 Colonoscopy with decompression
Also known as: colonoscopy stoma decompression, transcolostomy decompression
Colonoscopy performed through colostomy stoma with decompression via aspiration or needle catheter for relief of colonic dilation or obstruction.
In Plain Language
camera removal of gas and stool from distended colon through colostomy; decompression via stoma
Clinical Context
Used for therapeutic decompression in patients with colostomy presenting with acute colonic dilation, volvulus, or obstruction. Prevents perforation.
RVU Breakdown
| Work RVU | 4.04 |
| Total RVU | 4.04 |
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 4.04, 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 44408?
CPT 44408 (Colonoscopy with decompression) is a Surgery code. Colonoscopy performed through colostomy stoma with decompression via aspiration or needle catheter for relief of colonic dilation or obstruction.
What is the wRVU value for CPT 44408?
The work RVU for CPT 44408 is 4.04. This code is primarily used by Gastroenterology, Colorectal Surgery.
When is CPT 44408 used?
Used for therapeutic decompression in patients with colostomy presenting with acute colonic dilation, volvulus, or obstruction. Prevents perforation.
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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.