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CPT 44120: Small Intestine Resection with Primary Anastomosis
CPT code 44120 represents a surgical small intestine resection with primary anastomosis — removal of a single diseased segment of small bowel and reconnection of the remaining ends. This operation is a core inpatient general surgery procedure with implications for surgical quality measurement, hospital resource use, and payer coverage determinations nationwide. It matters clinically because outcomes depend on timely intervention, surgical technique, and postoperative management, and it matters financially because it typically drives inpatient surgical reimbursement and utilization patterns.
Key payers examined include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of the procedure, expected site-of-service and service type, and the common modifiers associated with billing in this clinical context. The publication also summarizes benchmarks and programmatic issues relevant to this code — including payment considerations for inpatient surgical services, utilization trends for intestinal resections, and policy updates affecting surgical billing and inpatient coverage. Where specific data elements are not supplied in the input, the text notes that those details are not available in the input. The coverage is written for a national audience seeking clinical, coding, and payer-context clarity for CPT code 44120.
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Billing Code Overview
CPT code 44120 describes a surgical procedure in which a single affected segment of the small intestine (small bowel) is removed and the remaining intestinal ends are reconnected (an intestinal resection with primary anastomosis). This procedure is performed to treat localized pathology of the small intestine such as obstruction, ischemia, perforation, tumors, or severe inflammatory disease.
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Service type: Surgical resection of small intestine with primary anastomosis
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Typical site of service: Hospital operating room or inpatient surgical setting