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CPT 44140: Partial Colectomy with Primary Anastomosis
CPT code 44140 represents a partial colectomy with primary anastomosis — the surgical removal of a segment of the colon followed by reconnection of the remaining ends. This procedure is a common operative approach for conditions such as colonic neoplasia, diverticular disease, ischemia, and other causes of localized colonic pathology, and it has significant implications for hospital surgical throughput, payment policy, and post-operative quality measurement. Nationally, this code matters because it captures a high-acuity inpatient surgical service with substantial resource use and variability in clinical pathways.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. The publication summarizes how payers classify and reimburse this operative service, typical sites of service, and clinical contexts linked to the code.
Readers will learn: a concise clinical description of the service captured by CPT code 44140; the common care settings and surgical service line; typical payer coverage considerations; and where to find benchmarks, coding guidance, and policy updates relevant to surgical billing and post-operative quality metrics. Data not available in the input will be explicitly noted where applicable.
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Billing Code Overview
CPT code 44140 describes a surgical partial colectomy with primary anastomosis, in which the provider removes a portion of the colon and then reconnects the cut ends to restore intestinal continuity. This procedure is a surgical service that typically takes place in an inpatient hospital operating room or an ambulatory surgical center depending on clinical complexity and patient status.
Service type: Surgical — General/Colorectal Surgery
Typical site of service: Hospital inpatient operating room or ambulatory surgery center