2025 CPT code 44205
(Active) Effective Date: N/A Revision Date: N/A Surgery - Laparoscopic Partial Colectomy Digestive System Feed
Laparoscopic partial colectomy with removal of the terminal ileum and ileocolostomy.
Modifiers may apply depending on the circumstances of the procedure (e.g., 51 for multiple procedures, 59 for distinct procedural services, 22 for increased procedural services, 78 for unplanned return to the operating room).
Medical necessity for 44205 is established based on the presence of a medically necessary indication for a partial colectomy, such as colon cancer, Crohn's disease, diverticulitis, or other conditions necessitating surgical intervention. The laparoscopic approach should be medically appropriate, considering the patient's overall health and the specific circumstances of the case.
The surgeon's responsibilities include patient preparation, anesthesia administration, creating small incisions, insufflation of the abdomen with gas for improved visualization, dissection of adhesions (if present), resection of the specified portion of the colon and terminal ileum, creation of the ileocolostomy (reconnection of the intestinal segments), ensuring hemostasis (stopping bleeding), and closure of the abdominal incisions in layers.
In simple words: The doctor performs a minimally invasive surgery to remove part of the large intestine and the end of the small intestine. They then reconnect the remaining parts of the intestines.
This procedure involves a laparoscopic approach to perform a partial colectomy, removing a portion of the colon and the terminal ileum (the end of the small intestine).An ileocolostomy is then created, reconnecting the remaining ileum and colon segments. The procedure utilizes small incisions, a laparoscope, and specialized instruments for visualization and manipulation within the abdominal cavity.
Example 1: A patient presents with a localized area of colon cancer involving the terminal ileum.A laparoscopic partial colectomy with ileocolostomy (44205) is performed to resect the cancerous tissue with clear margins, ensuring adequate removal of the diseased tissue., A patient with Crohn's disease experiences recurrent strictures in the terminal ileum and right colon.The surgeon performs a laparoscopic partial colectomy with ileocolostomy (44205) to remove the diseased segments and restore bowel continuity, improving the patient's quality of life and reducing symptoms., A patient with diverticulitis affecting a significant portion of the right colon and extending into the terminal ileum undergoes a laparoscopic partial colectomy with ileocolostomy (44205). This resections the affected areas and avoids the need for an open colectomy, minimizing trauma and recovery time.
* Preoperative assessment including detailed history, physical examination, imaging studies (CT scan, colonoscopy, etc.), and pathology reports confirming the diagnosis and extent of the disease.* Operative report meticulously documenting the laparoscopic approach, details of the resection, type of anastomosis created, any complications encountered, and the amount of tissue removed.* Pathology report confirming the diagnosis and extent of resection with clear margins.* Postoperative progress notes detailing the patient's recovery, any complications (e.g., infection, bleeding, ileus), and discharge plan.
** Always ensure accurate documentation and adherence to current CPT coding guidelines to guarantee proper reimbursement.
- Revenue Code: P5E (AMBULATORY PROCEDURES - OTHER)
- Payment Status: Active
- Specialties:General Surgery, Colorectal Surgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center, Outpatient Hospital