CPT Code 44392 | Description & Clinical Information

CPT 44392 describes the use of a colonoscope to examine the remaining portion of the colon after a colon removal procedure through a colostomy stoma, removal of abnormal masses or growths using an instrument that grasps, excises, and cauterizes it, and sending the specimen to a laboratory for analysis.

Official Description

The CPT book defines CPT code 44392 as: “Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps”.

Billing Guidelines

Report CPT 44392 separately from 44388.

Clinical Information

The procedure describes by CPT code 44392 is a specialized endoscopic procedure used to examine and potentially remove lesions in the colon. The process begins when the patient is adequately prepped and anesthetized, ensuring that they are comfortable and prepared for the exam.

Once the patient is ready, the provider passes a lubricated colonoscope into the patient’s stoma, guiding it gently through the colostomy and into the colon. The colonoscope is a flexible, tube-like device that allows the provider to examine the interior walls of the colon and identify any suspicious areas or lesions.

To make it easier to view all parts of the colon, the provider sends a puff of air through the scope, which expands the folds of tissue. This technique improves the visualization and helps to identify any abnormalities that may be present.

During the examination, the provider inspects the colon for lesions that may be present. If a lesion is identified, they remove it using a hot biopsy forceps. The forceps grasp and excise each lesion, administering an electrical current that cauterizes the tissues to prevent bleeding.

After the procedure, the specimens that are removed from the patient are submitted to a laboratory for analysis. This is an essential step that allows medical professionals to determine if the removed lesion is cancerous or benign.

Finally, the provider removes all instruments and gently withdraws the colonoscope, ensuring that the patient is comfortable and that they experience no discomfort during the process.

In conclusion, the CPT 44392 procedure is a crucial diagnostic tool that allows healthcare professionals to locate, examine, and potentially remove lesions in the colon. This technique can help save lives by identifying and treating cancers at an early stage before they have the chance to spread. If you are scheduled for this procedure, it is essential to adhere to all pre-operative instructions and to consult with your healthcare provider if you have any questions or concerns.

Return to all the CPT codes for endoscopic stomal procedures.

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