44660 Repair bowel-bladder fistula
Also known as: colovesical fistula repair, bowel-bladder fistula repair
Repair of bowel-to-bladder fistula via open surgical approach, involving resection of fistula tract and separate closure of bowel and bladder defects.
In Plain Language
surgery to close abnormal connection between bowel and bladder; bowel-bladder fistula closure
Clinical Context
Used for fistula between colon and bladder, usually from diverticulitis, inflammatory bowel disease, or prior surgery. Requires careful dissection and closure of both organs.
RVU Breakdown
| Work RVU | 23.31 |
| Total RVU | 23.31 |
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 23.31, this code ranks in the 87th percentile among Surgery codes — 2.9x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 44660?
CPT 44660 (Repair bowel-bladder fistula) is a Surgery code. Repair of bowel-to-bladder fistula via open surgical approach, involving resection of fistula tract and separate closure of bowel and bladder defects.
What is the wRVU value for CPT 44660?
The work RVU for CPT 44660 is 23.31. This code is primarily used by General Surgery, Colorectal Surgery, Urology. It has a 90-day global period.
When is CPT 44660 used?
Used for fistula between colon and bladder, usually from diverticulitis, inflammatory bowel disease, or prior surgery. Requires careful dissection and closure of both organs.
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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.