2025 CPT code 44133
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Digestive System Surgery Feed
Open partial enterectomy from a living donor, including cold preservation.
Modifiers may apply depending on the circumstances of the procedure. Consult official CPT guidelines for appropriate modifier usage.
Medical necessity for 44133 is established when a recipient requires an intestinal transplant, a suitable living donor is available, and the procedure is deemed the appropriate medical course of action by the surgeon and care team.Specific criteria may vary by payer.
The surgeon is responsible for all aspects of the living donor enterectomy, including surgical technique, graft preservation, and donor postoperative care.Anesthesiologists and other supporting medical personnel provide their respective services.
In simple words: The doctor removes part of the intestine from a living donor, carefully sews the ends back together, and preserves the removed piece to keep it healthy for transplant.
This CPT code encompasses the surgical removal of a partial segment of intestine from a living donor.The procedure includes meticulous preparation and preservation of the harvested intestinal graft.This involves careful dissection, transection, and anastomosis (reconnection) of the bowel, followed by perfusion with a cold preservation solution to maintain the graft's viability during transplantation.The code also accounts for the post-operative care of the living donor.
Example 1: A patient requires a small bowel transplant. A suitable living donor is identified. The surgeon performs a partial small bowel resection, preserving the graft using cold perfusion techniques. Post-operative care for the donor is provided. Code 44133 is used., In a case of intestinal atresia in a neonate, a living donor provides a section of small bowel for transplant.The procedure is done, the graft is preserved, and the donor's post-operative care is completed.Code 44133 is billed., A patient experiences significant bowel damage from trauma. A living related donor offers a segment of their large intestine.The surgeon performs a partial resection, preservation, and post operative care is administered to the donor.Code 44133 is used.
* Detailed operative report documenting the procedure, including the length and location of the resected bowel segment, technique of anastomosis, and preservation method.* Preoperative evaluation and assessment of the living donor's health and suitability.* Documentation of informed consent from the living donor.* Complete and accurate records of the donor's postoperative course, including any complications.* Pathology report confirming the harvested tissue's suitability.
** This code is specific to living donors and should not be used for cadaveric donors.Always verify payer-specific guidelines and policies before billing.
- Revenue Code: P1G (MAJOR PROCEDURE - OTHER)
- RVU: Information not available in provided text. Consult the official CPT codebook or other reliable resources for RVU data.
- Global Days: Information not available in provided text.The global period will vary depending on payer and other factors.Consult the payer's guidelines.
- Payment Status: Active
- Modifier TC rule: Information not available in provided text.Consult official CPT guidelines.
- Fee Schedule: Information not available in provided text. Consult relevant fee schedules and historical data.
- Specialties:Surgery (General Surgery, Transplant Surgery)
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center