How To Use CPT Code 44160

CPT 44160 describes the partial colectomy procedure with the removal of the terminal ileum and the creation of an ileocolostomy. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 44160?

CPT 44160 is used to describe a surgical procedure that involves the removal of a portion of the colon, specifically the last part of the small intestine (ileum), and the creation of an opening (ileocolostomy) between the ileum and the colon. This code is used when the provider performs an open resection of the terminal ileum and the proximal colon, and then reconnects the cut ends to restore the continuity of the digestive tract.

2. Official Description

The official description of CPT code 44160 is: ‘Colectomy, partial, with removal of terminal ileum with ileocolostomy.’

3. Procedure

1. The provider begins by making an abdominal incision after the patient is appropriately prepped and anesthetized.
2. Using surgical instruments, the provider removes the distal ileum and the proximal colon.
3. The cut ends of the ileum and colon are then reconnected in an end-to-side manner, creating an ileocolostomy.
4. The provider ensures that there is no bleeding and achieves hemostasis.
5. The abdominal incision is closed in layers to complete the procedure.

4. Qualifying circumstances

CPT 44160 is typically performed on patients who require the removal of a portion of their colon due to a specific medical condition. It is important to note that this procedure is performed by a qualified healthcare provider and is not limited to any specific patient population. The removal of the terminal ileum and the creation of an ileocolostomy are necessary for the patient’s overall health and well-being.

5. When to use CPT code 44160

CPT code 44160 should be used when a partial colectomy is performed, specifically involving the removal of the terminal ileum and the creation of an ileocolostomy. This code accurately represents the surgical procedure and should be used for reporting purposes.

6. Documentation requirements

To support a claim for CPT code 44160, the healthcare provider must document the following information:

• Reason for the procedure and the medical necessity
• Details of the surgical technique used, including the removal of the terminal ileum and the creation of an ileocolostomy
• Date of the procedure
• Any complications or unexpected findings during the surgery
• Post-operative care instructions and follow-up plans
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT code 44160, ensure that the procedure performed matches the description provided. It is important to accurately report the removal of the terminal ileum and the creation of an ileocolostomy. There are no specific guidelines regarding the reporting of CPT code 44160 with other codes, but it is essential to follow the appropriate coding guidelines and ensure accurate documentation to support the claim.

8. Historical information

CPT code 44160 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates or changes to the code since its addition. However, it is important to stay updated with any changes or revisions to the coding guidelines and documentation requirements.

9. Examples

1. A patient with Crohn’s disease undergoes a partial colectomy with the removal of the terminal ileum and the creation of an ileocolostomy.
2. A patient with colon cancer requires a partial colectomy, including the removal of the terminal ileum and the creation of an ileocolostomy.
3. A patient with ulcerative colitis undergoes a partial colectomy with the removal of the terminal ileum and the creation of an ileocolostomy.
4. A patient with diverticulitis requires a partial colectomy, including the removal of the terminal ileum and the creation of an ileocolostomy.
5. A patient with a gastrointestinal obstruction undergoes a partial colectomy, including the removal of the terminal ileum and the creation of an ileocolostomy.
6. A patient with a perforated colon requires a partial colectomy, including the removal of the terminal ileum and the creation of an ileocolostomy.
7. A patient with a colonic polyp undergoes a partial colectomy, including the removal of the terminal ileum and the creation of an ileocolostomy.
8. A patient with familial adenomatous polyposis requires a partial colectomy, including the removal of the terminal ileum and the creation of an ileocolostomy.
9. A patient with ischemic colitis undergoes a partial colectomy, including the removal of the terminal ileum and the creation of an ileocolostomy.
10. A patient with a colonic stricture requires a partial colectomy, including the removal of the terminal ileum and the creation of an ileocolostomy.