2025 CPT code 43496
(Active) Effective Date: N/A Surgery - Surgical Procedures on the Digestive System Surgery Feed
Free jejunum transfer with microvascular anastomosis.
Modifiers such as 22 (Increased Procedural Services), 51 (Multiple Procedures), etc. may be applicable depending on the specific circumstances.
Medical necessity must be established by documenting the underlying condition requiring the jejunum transfer and explaining why this procedure is the most appropriate treatment option.
The surgeon is responsible for the entire procedure, including the abdominal harvest of the jejunum, the transfer to the recipient site, and the microvascular anastomosis.They also ensure appropriate patient positioning, preparation, and anesthesia.
In simple words: The surgeon takes a piece of the small intestine and uses it to rebuild another part of the body, like the throat.They use a microscope to carefully connect the blood vessels of the transplanted tissue to the blood vessels in the new area.
This procedure involves harvesting a section of the jejunum (part of the small intestine) and transferring it to another location in the body, typically to reconstruct the pharynx or esophagus.The surgeon uses a microscope to connect the small blood vessels of the jejunal graft to the blood supply at the recipient site (microvascular anastomosis). This is a complex procedure performed to replace tissue damaged by disease or injury.
Example 1: A patient with esophageal cancer requiring reconstruction after esophagectomy., A patient with a traumatic injury to the pharynx requiring tissue replacement., A patient with a congenital defect of the throat requiring reconstruction.
Documentation should include the reason for the procedure (diagnosis), the size and location of the harvested jejunal segment, the recipient site, details of the microvascular anastomosis, and any complications encountered. Operative report and Pathology Report.
- Revenue Code: P1G
- Specialties:Reconstructive surgery, plastic surgery, head and neck surgery, general surgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center