How To Use CPT Code 44312

CPT 44312 describes the revision of an ileostomy, specifically the release of superficial scar tissue. 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 44312?

CPT 44312 is used to describe the procedure of revising an ileostomy by releasing superficial scar tissue. This code is specifically for cases where the scar tissue has grown around the stoma, which is an artificial opening in the abdominal wall connected to the ileum, the last part of the small intestine.

2. Official Description

The official description of CPT code 44312 is: ‘Revision of ileostomy; simple (release of superficial scar) (separate procedure)’. This code is used when the provider releases the scar tissue that has formed around the stoma.

3. Procedure

1. When performing CPT 44312, the provider begins by making an incision around the stoma in the scar tissue.
2. Depending on the extent of the scar tissue, the provider may simply incise the tissue or perform a more extensive excision.
3. The provider then reattaches the segment of ileum to the stoma in the abdominal wall.
4. In some cases, the provider may also excise the end of the ileum previously attached to the stoma and connect the freshened end to the stoma.

4. Qualifying circumstances

CPT 44312 is performed when there is scar tissue around the stoma of an ileostomy. This procedure is typically necessary when the scar tissue is causing complications or discomfort for the patient. It is important to note that CPT 44312 should not be reported if it is performed as an integral part of a larger procedure.

5. When to use CPT code 44312

CPT code 44312 should be used when the provider is specifically performing the revision of an ileostomy by releasing superficial scar tissue. It is important to ensure that this code is not reported when the procedure is performed as part of a larger surgical intervention.

6. Documentation requirements

To support a claim for CPT 44312, the provider must document the following information:

• The presence of scar tissue around the stoma
• The need for revision of the ileostomy
• The specific steps taken during the procedure, including any excisions or reattachments
• Any complications or additional procedures performed
• Signature of the provider

7. Billing guidelines

When billing for CPT 44312, it is important to ensure that the procedure is performed as a separate procedure and not as part of a larger intervention. This code should not be reported if it is performed as an integral part of another procedure. It is also important to follow any specific guidelines provided by the payer regarding the use of this code.

8. Historical information

CPT 44312 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.

9. Examples

1. A provider performs CPT 44312 to release scar tissue around an ileostomy stoma, allowing for improved function and comfort for the patient.
2. In another case, a patient with an ileostomy experiences complications due to scar tissue, and the provider performs CPT 44312 to revise the stoma and alleviate the issues.
3. A provider performs CPT 44312 as a separate procedure to release superficial scar tissue around an ileostomy stoma, ensuring proper functioning of the stoma.
4. In a complex case, a patient requires revision of an ileostomy due to extensive scar tissue, and the provider performs CPT 44312 along with other procedures to address the complications.
5. Another patient undergoes CPT 44312 to release superficial scar tissue around an ileostomy stoma, improving their quality of life and reducing discomfort.
6. A provider performs CPT 44312 to revise an ileostomy by releasing superficial scar tissue, allowing for better management of waste elimination for the patient.
7. In a separate procedure, a patient with an ileostomy requires revision due to scar tissue, and the provider performs CPT 44312 to address the issue.
8. A provider performs CPT 44312 to release superficial scar tissue around an ileostomy stoma, ensuring proper functioning and preventing complications for the patient.
9. In another case, a patient’s ileostomy requires revision due to scar tissue, and the provider performs CPT 44312 to address the issue and improve the patient’s condition.
10. A provider performs CPT 44312 as a separate procedure to release superficial scar tissue around an ileostomy stoma, improving the patient’s comfort and overall well-being.