44620 Repair bowel opening
Also known as: bowel opening repair, bowel defect repair, bowel wall reconstruction, colostomy closure
Repair of bowel opening or defect, including perforation or fistula tract, via open approach with reconstruction of bowel wall integrity.
In Plain Language
surgical repair of hole or opening in bowel; bowel wall mending
Clinical Context
Used for repair of enterotomy sites, inadvertent bowel openings, or defects from disease (Crohn's fistula, diverticular perforation) when simple closure suffices.
RVU Breakdown
| Work RVU | 14.07 |
| Total RVU | 14.07 |
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 14.07, this code ranks in the 71st percentile among Surgery codes — 1.8x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 44620?
CPT 44620 (Repair bowel opening) is a Surgery code. Repair of bowel opening or defect, including perforation or fistula tract, via open approach with reconstruction of bowel wall integrity.
What is the wRVU value for CPT 44620?
The work RVU for CPT 44620 is 14.07. This code is primarily used by General Surgery, Colorectal Surgery. It has a 90-day global period.
When is CPT 44620 used?
Used for repair of enterotomy sites, inadvertent bowel openings, or defects from disease (Crohn's fistula, diverticular perforation) when simple closure suffices.
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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.