2025 CPT code 44721
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Digestive System Surgery Feed
Backbench reconstruction of a cadaver or living donor intestine allograft before transplantation; arterial anastomosis, each.
Modifiers may be applicable depending on the circumstances of the procedure. Consult the CPT manual for applicable modifiers.
Medical necessity is established by the recipient's condition requiring intestinal transplantation, as determined through appropriate clinical evaluations and diagnostic tests.
The surgeon is responsible for the careful examination, preparation, and arterial anastomosis of the intestinal allograft.This includes meticulous assessment of the graft's viability, removal of unwanted tissues, and the surgical manipulation required to prepare the graft for transplantation.
In simple words: The doctor prepares a piece of intestine from a donor (either deceased or living) in a separate clean area of the operating room before transplanting it. This involves cleaning the intestine, fixing any extra blood vessels, and preparing it to be connected to the patient's intestine.
This CPT code encompasses the backbench preparation of an intestinal allograft harvested from a cadaver or living donor before transplantation.The procedure involves meticulous examination of the graft, removal of extraneous tissue (such as the duodenum and head of the pancreas), identification of duplicate arteries, creation of an arteriotomy in the primary artery, and anastomosis of duplicate arteries using sutures to create a single artery for subsequent anastomosis to the recipient's artery.This preparation is performed in a sterile backbench area within the operating room.
Example 1: A patient requires an intestinal transplant due to Crohn's disease.A living donor provides a section of small intestine. The surgeon performs code 44721 to prepare the donor intestine for transplantation., A patient needs a small bowel transplant after extensive damage from a traumatic injury. A cadaveric donor's small bowel is used. Code 44721 is utilized for the backbench preparation of the graft., During a complex intestinal resection and anastomosis, a portion of the small bowel needs replacement. A portion of the small bowel is harvested from the patient and then prepared using 44721 before being anastomosed back into the patient's digestive tract.
* Thorough preoperative evaluation of the donor and recipient.* Documentation of the donor's medical history, including any relevant infections or conditions.* Detailed operative report describing the preparation steps performed on the graft.* Images of the graft before and after preparation.* Histopathological examination results (if applicable).* Consent forms from both donor and recipient.
** The provided text does not offer specifics on all aspects of billing and coding for this procedure. Further information can be found in the current CPT manual and other relevant coding resources.
- Revenue Code: P1G (MAJOR PROCEDURE - OTHER)
- RVU: Information not available in provided text.Consult the official CPT codebook or relevant payer guidelines for RVU values.
- Global Days: Information not provided.The global surgical period would depend on payer-specific guidelines and the specific circumstances of the procedure.
- Payment Status: Active
- Modifier TC rule: Not applicable.The procedure is not typically broken down into professional and technical components.
- Fee Schedule: Data not provided. Consult a fee schedule database specific to the payer and date range of interest.
- Specialties:Surgery (General Surgery, Transplant Surgery)
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center