44661 Repair bowel-bladder fistula
Also known as: colovesical fistula repair complex, complex bowel-bladder fistula
Repair of bowel-to-bladder fistula with more extensive reconstruction or resection of involved bowel segment via open surgical approach.
In Plain Language
extensive surgery to close bowel-bladder connection; complex fistula repair
Clinical Context
Used for more complex bowel-bladder fistulas requiring bowel resection and anastomosis in addition to bladder closure, or when single layer repair is not feasible.
RVU Breakdown
| Work RVU | 26.67 |
| Total RVU | 26.67 |
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 26.67, this code ranks in the 90th percentile among Surgery codes — 3.3x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 44661?
CPT 44661 (Repair bowel-bladder fistula) is a Surgery code. Repair of bowel-to-bladder fistula with more extensive reconstruction or resection of involved bowel segment via open surgical approach.
What is the wRVU value for CPT 44661?
The work RVU for CPT 44661 is 26.67. This code is primarily used by General Surgery, Colorectal Surgery, Urology. It has a 90-day global period.
When is CPT 44661 used?
Used for more complex bowel-bladder fistulas requiring bowel resection and anastomosis in addition to bladder closure, or when single layer repair is not feasible.
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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.