2025 CPT code 44204
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Intestines (Except Rectum) Surgery Feed
Laparoscopic partial colectomy with anastomosis.
Modifiers may be applicable depending on the circumstances of the procedure.For example, modifier 59 (distinct procedural service) might be needed if the colectomy was performed in addition to another unrelated procedure during the same surgical session.Refer to the NCCI edits for guidance.
Medical necessity for a partial colectomy with anastomosis is established based on the presence of a condition requiring surgical intervention, such as colon cancer, diverticulitis, inflammatory bowel disease, or other pathology affecting bowel continuity or function.Supporting documentation should clearly demonstrate the need for surgical resection and reconstruction.
The surgeon is responsible for all aspects of the procedure, including pre-operative planning, intra-operative execution (incisions, laparoscopy, resection, anastomosis), and post-operative care. Anesthesiologist and nursing staff also play crucial roles.
- Surgery
- Surgery > Surgical Procedures on the Digestive System > Surgical Procedures on the Intestines (Except Rectum) > Laparoscopic Procedures on the Intestines (Except Rectum) > Laparoscopic Excision Procedures on the Intestines (Except Rectum)
In simple words: The surgeon removes part of the large intestine (colon) using a minimally invasive technique (laparoscopy) and then reconnects the remaining parts to ensure normal bowel function. This involves small incisions, a camera, and special instruments.
This code represents a laparoscopic surgical procedure involving the partial removal of a section of the colon (partial colectomy) followed by reconnection of the remaining ends of the colon (anastomosis) to restore bowel continuity.The procedure utilizes a laparoscopic approach, involving small incisions, a laparoscope for visualization, and specialized instruments.The surgeon will excise the targeted portion of the colon and then reconnect the severed ends using techniques such as stapling, creating an end-to-end or end-to-side anastomosis.The procedure concludes with closure of the incisions.
Example 1: A patient presents with diverticulitis affecting a segment of the sigmoid colon.A laparoscopic partial colectomy with anastomosis is performed to remove the affected portion and restore bowel continuity., A patient is diagnosed with colon cancer in the transverse colon.A laparoscopic partial colectomy with anastomosis is performed to remove the cancerous tissue and achieve oncologically sound margins.Lymph node dissection may also be performed., A patient with Crohn's disease affecting a segment of the descending colon undergoes a laparoscopic partial colectomy with anastomosis to remove the inflamed tissue and alleviate symptoms.
* Preoperative diagnosis and rationale for the procedure.* Operative report detailing the extent of the resection, type of anastomosis, and any complications.* Pathology report confirming the diagnosis and margins.* Postoperative progress notes documenting recovery and any complications.* Imaging studies (if performed).
** Always refer to the most current CPT codebook and payer guidelines for the most up-to-date information.This information is for educational purposes only and should not be considered medical advice.
- Revenue Code: P5E (AMBULATORY PROCEDURES - OTHER)
- RVU: Refer to the current Medicare Physician Fee Schedule for RVU values.These values vary based on geographic location and other factors.
- Global Days: The global surgical period for this procedure is dependent on payer-specific policies.Consult your payer's guidelines.
- Payment Status: Active
- Modifier TC rule: The TC modifier is not applicable to this procedure code as it encompasses the entire procedure.
- Fee Schedule: Fee schedule information is not included in the provided dataset. Consult the CMS website or other relevant resources for historical fee schedule information.
- Specialties:General Surgery, Colorectal Surgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center