2025 CPT code 44125
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Digestive System Feed
Enterectomy, resection of small intestine; with enterostomy.
Modifiers may be applicable to indicate specific circumstances, such as increased procedural services (22), multiple procedures (51), or assistant surgeon (80).
Medical necessity must be established based on the underlying condition requiring the enterectomy, with clear documentation of the severity of the disease and the failure of conservative treatment options.
The surgeon is responsible for the complete procedure, including pre-operative planning, the resection itself, creation of the stoma, post-operative care, and management of any complications.
In simple words: This procedure involves removing a part of the small intestine and creating an opening in the abdomen for waste to exit the body. This is often necessary when a part of the intestine is diseased or blocked.
This procedure involves the surgical removal of a portion of the small intestine (enterectomy) and the creation of an artificial opening in the abdominal wall (enterostomy) for the passage of stool. The affected segment of the small intestine is resected, the distal end is closed, and the proximal end is brought to the abdominal wall to create a stoma.
Example 1: A patient with Crohn's disease experiencing a severe blockage in the small intestine requires an enterectomy with enterostomy to remove the diseased portion and allow for fecal diversion., A patient with a cancerous tumor in the small intestine undergoes resection with enterostomy to remove the malignancy., Following a traumatic injury to the abdomen resulting in a perforated small intestine, a patient requires an enterectomy and enterostomy to remove the damaged section and allow for healing.
Operative report detailing the procedure, including the length of the resected bowel, location of the enterostomy, and any complications encountered. Pre-operative diagnostic studies supporting the medical necessity, such as imaging studies and endoscopic findings. Pathology report if a tumor or other lesion was removed.
** The zip code 44125 is located in Garfield Heights, Ohio. It is part of Cuyahoga County and the Healthy Northeast Ohio substate region.
- Global Days: Global Days: The global period for 44125 is typically 0, 10, or 90 days based on payer guidelines.
- Modifier TC rule: Modifier TC might apply in certain scenarios.
- Specialties:General Surgery, Colorectal Surgery, Pediatric Surgery (if applicable)
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center