How To Use CPT Code 44620

CPT 44620 describes the closure of a previously created enterostomy, which is a surgically created passage from the intestines to the external surface of the abdomen. This procedure is performed to restore an uninterrupted digestive tract when the patient no longer requires the intestinal diversion. This article will cover the description, official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 44620?

CPT 44620 is used to describe the closure of a previously created enterostomy, which is a surgical procedure that involves creating a passage from the intestines to the external surface of the abdomen. This procedure is performed to restore a continuous digestive tract when the patient no longer needs the intestinal diversion. It is important to note that CPT 44620 is specific to the closure of enterostomies in the large or small intestine.

2. Official Description

The official description of CPT code 44620 is: ‘Closure of enterostomy, large or small intestine.’

3. Procedure

1. The provider begins the procedure by making an incision near the site of the enterostomy.
2. Next, the provider detaches the intestine from the opening in the abdominal wall.
3. The segment of intestine that was used for the enterostomy is then reattached to the rest of the intestine in layers using suture material.
4. The provider carefully checks for any bleeding and proceeds to close the abdominal incision in layers.
5. Finally, the site of the previous stoma, the surgically created opening on the skin, is closed in layers.

4. Qualifying circumstances

CPT 44620 is performed when a patient no longer requires the intestinal diversion created by the enterostomy. This procedure is typically indicated when the patient’s condition has improved or when an alternative treatment option is available. It is important to note that CPT 44620 specifically applies to the closure of enterostomies in the large or small intestine.

5. When to use CPT code 44620

CPT code 44620 should be used when a provider performs the closure of a previously created enterostomy in the large or small intestine. It is important to ensure that the patient no longer requires the intestinal diversion and that the procedure is performed to restore an uninterrupted digestive tract.

6. Documentation requirements

To support a claim for CPT 44620, the provider must document the following information:

• The indication for the closure of the enterostomy
• The specific location of the enterostomy (large or small intestine)
• The date of the procedure
• A detailed description of the procedure performed
• Any complications encountered during the procedure
• The closure technique used
• The closure of the abdominal incision and the site of the previous stoma
• The provider’s signature

7. Billing guidelines

When billing for CPT 44620, it is important to ensure that the procedure performed is the closure of a previously created enterostomy in the large or small intestine. It is also crucial to follow the specific documentation requirements and guidelines set forth by the payer. Additionally, it is important to review any applicable bundling or unbundling rules and modifiers that may be required for accurate billing and reimbursement.

8. Historical information

CPT 44620 was added to the Current Procedural Terminology system on January 1, 1990. The code underwent a change on January 1, 2010, with an updated description. It is important to stay updated with any changes or revisions to the code to ensure accurate reporting and billing.

9. Examples

1. A patient who previously had an enterostomy in the small intestine undergoes the closure procedure to restore a continuous digestive tract.
2. A provider performs the closure of a previously created enterostomy in the large intestine for a patient who no longer requires the intestinal diversion.
3. A patient with a history of enterostomy in the small intestine undergoes the closure procedure to restore normal digestive function.
4. A provider performs the closure of a previously created enterostomy in the large intestine for a patient who has successfully recovered from their underlying condition.
5. A patient who had an enterostomy in the small intestine undergoes the closure procedure to eliminate the need for an intestinal diversion.
6. A provider performs the closure of a previously created enterostomy in the large intestine for a patient who has opted for an alternative treatment option.
7. A patient with a history of enterostomy in the small intestine undergoes the closure procedure to improve their overall quality of life.
8. A provider performs the closure of a previously created enterostomy in the large intestine for a patient who has achieved significant improvement in their underlying condition.
9. A patient who no longer requires the intestinal diversion undergoes the closure procedure to restore normal digestive function.
10. A provider performs the closure of a previously created enterostomy in the large intestine for a patient who has successfully completed their treatment plan.