2025 CPT code 44207
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Surgery - Surgical Procedures on the Digestive System Surgery Feed
Laparoscopic partial colectomy with anastomosis and coloproctostomy.
Modifiers may be applicable depending on the specific circumstances of the procedure. Examples include modifiers for multiple procedures (51), bilateral procedures, or unusual circumstances (22).Consult your payer’s guidelines.
Medical necessity for 44207 is established when a patient presents with a condition affecting a segment of the colon that requires surgical resection. This may include, but is not limited to, colonic polyps, diverticulitis, tumors, or inflammatory bowel disease.The decision to proceed with a laparoscopic approach versus an open approach is based on factors such as the patient's overall health, the location and size of the affected tissue, and the surgeon's expertise.
The surgeon is responsible for pre-operative assessment, obtaining informed consent, performing the laparoscopic procedure, ensuring hemostasis, and closing the incisions. Post-operative care is typically shared between the surgeon and other healthcare providers.
In simple words: The doctor removes part of the large intestine (colon) using a minimally invasive technique (laparoscopy) involving small incisions and a camera.Then, the doctor reconnects the remaining parts of the colon to the rectum.
This CPT code, 44207, represents a laparoscopic surgical procedure involving the partial removal of a section of the colon, followed by the reconnection (anastomosis) of the remaining colon to the rectum.The procedure is performed laparoscopically, meaning it is minimally invasive, using small incisions and specialized instruments. The surgeon inflates the abdomen with gas to improve visualization, resects the targeted portion of the colon, and then creates an anastomosis between the proximal (closer to the small intestine) end of the remaining colon and the rectum. This often involves mobilizing the splenic flexure of the colon. Hemostasis (control of bleeding) is ensured, and the abdominal incisions are closed in layers.
Example 1: A patient presents with a large, obstructing colonic polyp that requires resection. The surgeon elects to perform a laparoscopic partial colectomy with anastomosis and coloproctostomy (44207) due to the minimally invasive nature of the technique and the patient's overall health., A patient with diverticulitis affecting a segment of the sigmoid colon undergoes laparoscopic resection and reanastomosis (44207) to remove the diseased tissue and prevent further complications., A patient with inflammatory bowel disease (IBD) requiring resection of a diseased section of the colon undergoes a laparoscopic partial colectomy with anastomosis and coloproctostomy (44207) to manage their condition.
* Detailed history and physical examination.* Pre-operative imaging studies (e.g., CT scan, colonoscopy).* Operative report with detailed description of the procedure, including the extent of resection, type of anastomosis, and complications (if any).* Pathology report confirming the diagnosis and nature of the resected tissue.* Post-operative progress notes and discharge summary.
** This information is intended for educational purposes only and should not be considered medical advice.Always consult the most current CPT and payer guidelines for accurate coding and billing practices.
- Revenue Code: P1G (MAJOR PROCEDURE - OTHER)
- RVU: This information requires access to a specific fee schedule and may vary based on geographic location, payer, and other factors.Consult the appropriate fee schedule for accurate RVU values.
- Global Days : The global period for this procedure will vary depending on payer and local standards. Consult the specific payer's guidelines for the appropriate global period.
- Payment Status: Active
- Modifier TC rule: This code does not have an associated TC modifier as it represents the complete procedure.
- Fee Schedule : Historical fee schedule information is not available here. Consult a fee schedule database specific to your payer and location for historical reimbursement data.
- Specialties:General Surgery, Colorectal Surgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center