2025 CPT code 44160
(Active) Effective Date: N/A Revision Date: N/A Surgery - Partial Colectomy Digestive System Feed
Partial colectomy with removal of the terminal ileum and ileocolostomy.
Modifiers may be applicable depending on specific circumstances of the surgery. Consult the most recent CPT coding guidelines and modifier manuals for details. Examples include modifiers for multiple procedures (51), increased procedural services (22), or the use of a laparoscopic approach.
Medical necessity is established by the presence of a condition requiring surgical intervention to remove diseased or damaged portions of the bowel. This could include, but is not limited to, cancer, inflammatory bowel disease, trauma, severe diverticulitis, or obstruction.Documentation must support the clinical indication for the procedure. Refer to individual payer guidelines for specific requirements.
The surgeon is responsible for the pre-operative assessment, the surgical procedure including incision, resection, anastomosis, and closure, as well as post-operative care and follow-up. Anesthesia is provided by an anesthesiologist or CRNA.
In simple words: The doctor removes part of the large intestine (colon) and the very end of the small intestine. Then, they reconnect the remaining parts of the intestines so that waste can still pass through normally.
This procedure involves the surgical resection of a portion of the colon, specifically removing the terminal ileum (the last part of the small intestine), and creating an anastomosis (surgical connection) between the remaining ileum and colon. This is known as an ileocolostomy.The procedure may be performed via an open or laparoscopic approach.It addresses conditions requiring partial colon removal and restoration of bowel continuity.
Example 1: A patient presents with colon cancer localized to the terminal ileum and a section of the ascending colon.A partial colectomy with ileocolostomy is performed to remove the cancerous tissue and maintain bowel continuity., A patient with Crohn's disease experiences significant inflammation and stricture in the terminal ileum and right colon.Surgical resection with ileocolostomy is needed to alleviate symptoms and restore normal bowel function., A patient with diverticulitis has a perforation in the sigmoid colon and requires an urgent partial colectomy with ileocolostomy to address the perforation and prevent further complications.
* Thorough history and physical examination, including review of symptoms, imaging studies, and prior medical records.* Pre-operative consent form.* Operative report detailing the extent of resection, type of anastomosis, and any complications encountered.* Pathology report confirming the diagnosis and characterizing the resected tissue.* Post-operative progress notes documenting the patient's recovery and management of any complications.* Any imaging (CT scan, MRI, etc.) to confirm the diagnosis and/or identify any other issues.
** This code encompasses various techniques for partial colectomy including open and laparoscopic approaches.Always code to the highest level of specificity possible and verify with payer guidelines for specific requirements and exclusions.
- Revenue Code: P1B (Major Procedure - Colectomy)
- RVU: This information is not available in the provided text.Consult current relative value unit (RVU) databases and Medicare conversion factors for accurate values.
- Global Days: The global period for this procedure varies depending on payer and other factors.Check individual payer guidelines for specific details.
- Payment Status: Active
- Modifier TC rule: The use of a technical component (TC) modifier is dependent on the specific clinical scenario and the nature of physician involvement. Refer to the latest CPT guidelines and individual payer policy for details.
- Fee Schedule: Historical fee schedule data is not available in the provided text. Consult historical Medicare fee schedules and other relevant databases for this information.
- Specialties:* General Surgery* Colorectal Surgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center