44604 Suture large intestine
Also known as: colon repair, large bowel repair, primary repair large intestine
Primary repair of large intestine (colon) via open surgical approach, including suturing of laceration or perforation to restore bowel continuity.
In Plain Language
surgical stitching of colon tear; repair of large bowel hole
Clinical Context
Used for traumatic or iatrogenic injury to colon. Primary repair preserves bowel function and avoids colostomy when feasible, but diversion is often preferred for right colon injuries.
RVU Breakdown
| Work RVU | 17.71 |
| Total RVU | 17.71 |
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 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 17.71, this code ranks in the 79th percentile among Surgery codes — 2.2x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 44604?
CPT 44604 (Suture large intestine) is a Surgery code. Primary repair of large intestine (colon) via open surgical approach, including suturing of laceration or perforation to restore bowel continuity.
What is the wRVU value for CPT 44604?
The work RVU for CPT 44604 is 17.71. This code is primarily used by General Surgery, Colorectal Surgery, Trauma Surgery. It has a 90-day global period.
When is CPT 44604 used?
Used for traumatic or iatrogenic injury to colon. Primary repair preserves bowel function and avoids colostomy when feasible, but diversion is often preferred for right colon injuries.
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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.