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BETA v.3.0

2025 CPT code 44202

Laparoscopic removal of part of the small intestine with a single resection and anastomosis.

Surgical laparoscopy always includes diagnostic laparoscopy. Use 49320 to report diagnostic laparoscopy as a separate procedure.

Modifiers such as 22 (Increased Procedural Services), 51 (Multiple Procedures), 59 (Distinct Procedural Service), and others may be applicable depending on the specific circumstances of the procedure.

Medical necessity for this procedure is established by the presence of a documented blockage, disease, or tumor in the small intestine that requires surgical intervention. The laparoscopic approach is typically preferred for its minimally invasive nature, resulting in reduced patient morbidity and faster recovery.

The surgeon performs the laparoscopic procedure, including making the incisions, insufflating the abdomen, resecting the intestine, and creating the anastomosis.

IMPORTANT:+44203 for each additional laparoscopic small intestine resection and anastomosis. 44120, +44121 for open small intestine resection and anastomosis.

In simple words: This is a minimally invasive surgery to remove a diseased or blocked part of the small intestine.A small camera and surgical tools are inserted through tiny incisions in the abdomen. The bad section of intestine is removed, and the healthy ends are reconnected.

Laparoscopy, surgical; enterectomy, resection of small intestine, single resection and anastomosis. This procedure involves the laparoscopic removal of a portion of the small intestine, including a single resection and anastomosis. The surgeon makes small incisions in the abdomen, insufflates the abdomen with gas, and uses specialized instruments and a camera to visualize and perform the resection. The cut ends of the intestine are then reconnected.

Example 1: A patient with a blockage in the small intestine caused by adhesions undergoes laparoscopic small intestine resection to remove the blocked area and restore normal bowel function., A patient with Crohn's disease affecting a segment of the small intestine undergoes laparoscopic resection of the diseased portion., A patient with a small bowel tumor has a laparoscopic resection to remove the tumor and a margin of healthy tissue.

Documentation should include the operative report detailing the laparoscopic approach, the specific portion of small intestine resected, the type of anastomosis performed, and any associated procedures. Preoperative studies, such as imaging and endoscopic findings, should also be documented to support the medical necessity of the procedure.

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