2025 CPT code 44132
(Active) Effective Date: N/A Revision Date: N/A Surgery - Excision Procedures Surgical Procedures on the Intestines (Except Rectum) Feed
Open donor enterectomy from a cadaver donor, including cold preservation.
Modifiers may be applicable depending on the specific circumstances of the procedure. For instance, modifiers such as 52 (reduced services) or 59 (distinct procedural service) might be necessary under certain circumstances.
Medical necessity is established by the recipient's need for intestinal transplantation, confirmed through appropriate diagnostic testing and evaluation.The donor's suitability must also be documented to ensure compatibility and reduce transplant rejection risks.
The clinical responsibility for this code lies with the surgical team performing the donor enterectomy. This includes the surgeon, surgical assistants, and possibly anesthesiologists. Their duties encompass all aspects of the procedure, from pre-operative preparation to the post-operative care of the donor.
- Surgical Procedures on the Intestines (Except Rectum)
- Surgical Procedures on the Intestines (Except Rectum) > Excision Procedures
In simple words: The doctor removes a part of the small intestine from a deceased person.They then treat the removed intestine to keep it healthy for a transplant into someone else.
This CPT code, 44132, represents an open surgical procedure involving the removal of a segment of the small intestine from a deceased donor (cadaver). The procedure includes the meticulous preparation and preservation of the harvested intestinal graft.This preservation involves perfusion with a cold preservation solution and maintenance at low temperatures to ensure viability for subsequent transplantation into a recipient. The steps typically involve making a midline abdominal incision, isolating the target intestinal segment, carefully excising blood vessels as needed, removing the intestinal segment, potentially closing the incision on the donor, flushing the harvested intestine with preservative solution, and finally storing it in a sealed container on ice for transplantation.
Example 1: A 55-year-old male cadaveric donor is identified as a suitable match for an intestinal transplant. The surgical team performs a 44132 procedure, carefully harvesting a segment of the small bowel while minimizing trauma and preserving the graft's viability with meticulous cold preservation techniques., A multi-organ procurement is undertaken, and during this procedure, the surgical team performs a 44132 procedure to harvest the small intestine from the deceased donor.The graft is processed and prepared for transplantation according to stringent protocols., In a complex case, a deceased donor undergoes multi-organ procurement, and the surgical team executes several simultaneous procedures. Among these, the 44132 procedure is crucial to remove a segment of the small intestine for transplantation while maintaining its viability using a precise cold preservation technique. Close coordination and timing are critical to the success of this multi-step process.
Thorough documentation is crucial and should include: pre-operative assessment of the donor's condition; detailed surgical notes describing the procedure, including the location, length, and condition of the harvested segment;description of the cold preservation techniques employed; pathology reports of the harvested tissue; and post-operative notes concerning the donor (if applicable).
** This code is specifically for cadaveric donors.For living donors, use CPT code 44133.The recipient's transplantation procedure is coded separately using CPT codes 44135 or 44136 depending on whether the donor is cadaveric or living respectively.
- Revenue Code: P1G (MAJOR PROCEDURE - OTHER)
- RVU: This information is not available in the provided sources.Consult the AMA CPT Professional Edition or a relevant fee schedule for the most up-to-date RVU information.
- Global Days: The global period for this code is not explicitly defined in the provided sources.Further information from official guidelines or fee schedules is needed.
- Payment Status: Active
- Modifier TC rule: This code does not typically involve a technical component (TC) modifier since it is primarily a surgical procedure performed by the surgeon.
- Fee Schedule: Historical fee schedule data is not available in the provided sources.Check the AMA CPT Professional Edition or relevant fee schedules for historical reimbursement rates.
- Specialties:Surgery (Transplant Surgery, General Surgery)
- Place of Service:Inpatient Hospital