How To Use CPT Code 44207

CPT 44207 describes the laparoscopic surgical procedure for colectomy, partial, with anastomosis, specifically involving coloproctostomy (low pelvic anastomosis). This article will cover the official description, procedure details, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 44207?

CPT 44207 is a code used to describe a laparoscopic surgical procedure known as colectomy, partial, with anastomosis, specifically involving coloproctostomy (low pelvic anastomosis). This procedure involves the removal of a portion of the colon and the connection of the remaining colon to the rectum. It is typically performed using minimally invasive techniques, such as small incisions and the use of a camera and specialized instruments.

2. Official Description

The official description of CPT code 44207 is: ‘Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis).’ This code is specifically used for laparoscopic procedures involving the removal of part of the colon and the creation of a passage between the colon and the rectum.

3. Procedure

1. The laparoscopic colectomy procedure begins with the provider making small incisions, typically including one at the umbilicus, to access the abdominal cavity.
2. Gas is then insufflated into the abdomen to create space and improve visualization of the surgical site.
3. The provider inserts a camera and specialized instruments through the incisions to perform the procedure.
4. Any adhesions, which are fibrous bands that may have formed between tissues and organs, are carefully separated using techniques such as scalpel, cautery, or blunt dissection.
5. The target portion of the colon is resected, or removed, and the remaining colon is mobilized to allow for the creation of a low pelvic anastomosis.
6. The proximal end of the remaining colon is then connected to the rectum, creating a coloproctostomy.
7. The provider ensures hemostasis, or stops any bleeding, and closes the incisions in layers.

4. Qualifying circumstances

CPT 44207 is typically performed on patients who require a partial colectomy with anastomosis and coloproctostomy. This procedure may be necessary for various conditions affecting the colon, such as tumors, diverticulitis, or inflammatory bowel disease. The decision to perform this procedure is made based on the patient’s specific diagnosis and clinical presentation. It is important to note that CPT 44207 is specifically for laparoscopic procedures, and an open procedure would require a different CPT code.

5. When to use CPT code 44207

CPT code 44207 should be used when a laparoscopic colectomy procedure is performed, involving the removal of part of the colon and the creation of a coloproctostomy. It is important to ensure that the procedure meets the specific criteria outlined in the code description. If an open procedure is performed instead of a laparoscopic one, a different CPT code should be used.

6. Documentation requirements

When reporting CPT code 44207, the following documentation should be included:

• Specific indication for the procedure, such as the patient’s diagnosis and the need for a partial colectomy with anastomosis
• Description of the laparoscopic approach used
• Details of the procedure, including any additional steps or modifications
• Documentation of any complications or unexpected findings
• Any additional procedures performed during the same operative session
• Signature of the performing provider

7. Billing guidelines

When billing for CPT code 44207, it is important to ensure that the procedure performed meets the specific criteria outlined in the code description. This includes the laparoscopic approach, partial colectomy with anastomosis, and coloproctostomy. It is also important to follow any additional guidelines provided by payers or coding authorities. It is recommended to review the payer’s policies and guidelines to ensure accurate and appropriate billing.

8. Historical information

CPT code 44207 was added to the Current Procedural Terminology system on January 1, 2003. Since its addition, there have been no updates or changes to the code.

9. Examples

1. A patient with a colon tumor undergoes a laparoscopic colectomy, partial, with anastomosis and coloproctostomy.
2. A patient with diverticulitis requires a laparoscopic colectomy, partial, with anastomosis and coloproctostomy to treat the condition.
3. A laparoscopic colectomy, partial, with anastomosis and coloproctostomy is performed on a patient with inflammatory bowel disease.
4. A laparoscopic colectomy, partial, with anastomosis and coloproctostomy is performed on a patient with a colon polyp that requires surgical intervention.
5. A patient with a history of colon cancer undergoes a laparoscopic colectomy, partial, with anastomosis and coloproctostomy as part of their treatment plan.