How To Use CPT Code 44625

CPT 44625 describes the closure of an enterostomy, which involves the revision of a previously created artificial opening in the small or large intestine. 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 44625?

CPT 44625 is used to describe the closure of an enterostomy, specifically when the provider performs a resection and anastomosis of the small or large intestine. This procedure involves cutting the attached portion of the intestine from the abdominal wall and reattaching it back to the remaining intestine. It is important to note that this code is not applicable for anastomosis between the colon and rectum.

2. Official Description

The official description of CPT code 44625 is: ‘Closure of enterostomy, large or small intestine; with resection and anastomosis other than colorectal.’

3. Procedure

1. When performing the closure of an enterostomy, the provider begins by appropriately prepping and anesthetizing the patient.
2. An abdominal incision or incision around the stoma is made.
3. The previously attached intestine is separated from the abdominal wall.
4. The free end of the intestine is then reattached to the small or large intestine.
5. Finally, the provider closes the incision.

4. Qualifying circumstances

CPT 44625 is applicable when the provider is revising a previously created enterostomy and performing a resection and anastomosis of the small or large intestine. It is important to note that this code is not used for anastomosis between the colon and rectum.

5. When to use CPT code 44625

CPT code 44625 should be used when the provider is performing the closure of an enterostomy and conducting a resection and anastomosis of the small or large intestine. It is important to ensure that the anastomosis is not between the colon and rectum, as this would require a different code.

6. Documentation requirements

To support a claim for CPT 44625, the provider must document the following information:

• Patient’s diagnosis and the need for enterostomy closure
• Details of the procedure, including the specific resection and anastomosis performed
• Date of the procedure
• Incision type and location
• Progress made during the procedure
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT 44625, ensure that the procedure meets the criteria of closure of an enterostomy with resection and anastomosis of the small or large intestine. It is important to note that this code should not be reported if the anastomosis is between the colon and rectum. Additionally, consider any specific guidelines provided by payers or coding authorities for accurate billing.

8. Historical information

CPT 44625 was added to the Current Procedural Terminology system on January 1, 1990. The only notable update to this code was its inclusion under the Inpatient Only (IPO) list for Medicare in 2017.

9. Examples

1. A patient undergoes closure of a previously created enterostomy in the small intestine with resection and anastomosis.
2. A provider performs the closure of an enterostomy in the large intestine with resection and anastomosis for a patient.
3. A revision of a previously created enterostomy in the small intestine is conducted, involving resection and anastomosis.
4. A patient requires closure of an enterostomy in the large intestine with resection and anastomosis, along with the creation of a colostomy.
5. A provider performs the closure of an enterostomy in the small intestine with resection and anastomosis, following a previous surgical procedure.
6. A patient undergoes revision of a previously created enterostomy in the large intestine, involving resection and anastomosis.
7. A provider performs the closure of an enterostomy in the small intestine with resection and anastomosis, following a successful treatment plan.
8. A patient requires closure of an enterostomy in the large intestine with resection and anastomosis, as part of their ongoing medical care.
9. A revision of a previously created enterostomy in the small intestine is conducted, involving resection and anastomosis, to improve the patient’s condition.
10. A provider performs the closure of an enterostomy in the large intestine with resection and anastomosis, following a comprehensive evaluation of the patient’s medical history.