44650 Repair bowel fistula
Also known as: enterenteric fistula repair, internal bowel fistula repair
Repair of internal bowel-to-bowel fistula (enterenteric fistula) via open surgical approach, typically involving resection of fistula tract and anastomosis.
In Plain Language
surgery to close abnormal connection between bowel segments; internal fistula closure
Clinical Context
Used for fistula between small bowel segments, usually from Crohn's disease or prior surgery. Requires resection of involved segments and anastomosis.
RVU Breakdown
| Work RVU | 24.49 |
| Total RVU | 24.49 |
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 24.49, this code ranks in the 88th percentile among Surgery codes — 3.1x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 44650?
CPT 44650 (Repair bowel fistula) is a Surgery code. Repair of internal bowel-to-bowel fistula (enterenteric fistula) via open surgical approach, typically involving resection of fistula tract and anastomosis.
What is the wRVU value for CPT 44650?
The work RVU for CPT 44650 is 24.49. This code is primarily used by General Surgery, Colorectal Surgery. It has a 90-day global period.
When is CPT 44650 used?
Used for fistula between small bowel segments, usually from Crohn's disease or prior surgery. Requires resection of involved segments and anastomosis.
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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.