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2025 CPT code 44120

Removal of a section of the small intestine (enterectomy) with reconnection of the remaining ends (single resection and anastomosis).

Refer to CPT coding guidelines for correct application of add-on codes for multiple resections (+44121).

Modifiers may be applicable depending on the specific circumstances of the procedure.

Medical necessity must be established by documenting the underlying condition, symptoms, and failure of conservative treatment options, if any.The documentation should demonstrate how the procedure is necessary to improve the patient's health or prevent further complications.

The surgeon makes an incision, identifies the target area, resects the diseased segment, and performs the anastomosis. They also ensure proper bleeding control and wound closure.

IMPORTANT:+44121 for each additional small intestine resection and anastomosis. 44125 if performed with enterostomy. 44202 if performed laparoscopically.

In simple words: This procedure removes a diseased part of the small intestine and reconnects the healthy ends.This allows for normal digestion to continue after the diseased section is removed.

This procedure involves the surgical removal of a diseased or damaged portion of the small intestine.A single segment of the small intestine is resected, and the remaining ends are reconnected through an anastomosis (surgical connection). The specific type of anastomosis (end-to-end, end-to-side, or side-to-side) depends on the location and length of the resected segment.

Example 1: A patient with Crohn's disease causing a blockage in the small intestine undergoes a small bowel resection to remove the affected segment., A patient with a cancerous tumor in the small intestine undergoes a small bowel resection to remove the tumor., A patient with a traumatic injury to their small intestine requires resection and anastomosis of the damaged segment.

Documentation should include the diagnosis necessitating the procedure, operative details (including the length and location of the resection and type of anastomosis), and any complications encountered.

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