2025 CPT code 44212
(Active) Effective Date: N/A Surgery - Surgical Procedures on the Digestive System Feed
Laparoscopic total colectomy with proctectomy and ileostomy.
Modifiers such as 22 (Increased Procedural Services), 51 (Multiple Procedures), 59 (Distinct Procedural Service), and others may be applicable depending on the specific circumstances of the procedure.
Medical necessity must be established for this procedure, demonstrating that less invasive treatments have failed or are not appropriate for the patient's condition. The documentation should clearly indicate the medical reason for the surgery.
The surgeon is responsible for performing the laparoscopic total colectomy, proctectomy, and ileostomy creation. This includes pre-operative planning, patient education, obtaining informed consent, performing the surgery, post-operative care, and managing any complications.
In simple words: The surgeon removes the entire large intestine and rectum using a minimally invasive camera-guided technique, creating a new opening in the abdomen for waste to exit the body.
This procedure involves the laparoscopic removal of the entire colon, rectum (proctectomy), and the formation of an ileostomy.The surgeon makes small incisions in the abdomen, inserts a laparoscope and other instruments, and removes the colon and rectum. The end of the small intestine (ileum) is then brought through the abdominal wall to create an opening (stoma) for waste elimination.
Example 1: A patient with colorectal cancer requires complete removal of the colon and rectum to eliminate the cancerous tissue. A laparoscopic total colectomy with proctectomy and ileostomy is performed., A patient with severe Crohn's disease unresponsive to medical management requires surgical intervention. A laparoscopic total colectomy with proctectomy and ileostomy is performed to remove the affected bowel., A patient with colonic dysmotility experiences persistent bowel obstructions and pain. A laparoscopic total colectomy with proctectomy and ileostomy is performed to alleviate the symptoms and improve quality of life.
Documentation should include the diagnosis necessitating the procedure, pre-operative evaluations, operative report detailing the procedure, post-operative care, pathology reports, and any complications encountered.
- Revenue Code: P1G - MAJOR PROCEDURE - OTHER
- Global Days : Global Days: Refer to current CPT guidelines for accurate global days information associated with code 44212.
- Payment Status: Active
- Fee Schedule : Refer to historical CMS fee schedules for past payment information.
- Specialties:General Surgery, Colorectal Surgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center