44800 Excision of bowel pouch
Also known as: pouch excision, J-pouch removal, pouch resection
Excision or resection of ileal pouch (created during prior total proctocolectomy) for complications including pouchitis, dysplasia, or malignancy.
In Plain Language
surgery to remove surgically created bowel pouch
Clinical Context
Used for removal of failed ileal pouch (refractory pouchitis), dysplasia, or pouch cancer. Results in permanent ileostomy or continent pouch.
RVU Breakdown
| Work RVU | 11.75 |
| Total RVU | 11.75 |
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 11.75, this code ranks in the 64th percentile among Surgery codes — 1.5x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 44800?
CPT 44800 (Excision of bowel pouch) is a Surgery code. Excision or resection of ileal pouch (created during prior total proctocolectomy) for complications including pouchitis, dysplasia, or malignancy.
What is the wRVU value for CPT 44800?
The work RVU for CPT 44800 is 11.75. This code is primarily used by Colorectal Surgery, General Surgery. It has a 90-day global period.
When is CPT 44800 used?
Used for removal of failed ileal pouch (refractory pouchitis), dysplasia, or pouch cancer. Results in permanent ileostomy or continent pouch.
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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.