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CPT 44202: Laparoscopic Small Bowel Resection with Single Anastomosis
CPT code 44202 denotes a laparoscopic small bowel resection with a single resection and anastomosis. This surgical code captures minimally invasive removal of a segment of the small intestine followed by reconnection of the bowel, a procedure used for indications such as obstruction, ischemia, Crohn disease complications, or focal neoplasm. Nationally, accurate coding of this operative technique affects procedure-level utilization metrics, payer coverage determinations, and facility billing for operating room and post-operative care.
Key payers commonly involved in coverage and reimbursement for this procedure include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find clinical context for the procedure, typical sites of service, and discussion of how this code is applied for laparoscopic small bowel resections. The publication also presents benchmarks and comparative perspectives on utilization and payment policy where available, and highlights policy updates and documentation elements that affect billing and claims adjudication.
The content is intended to help coding professionals, surgical teams, and revenue managers understand when CPT code 44202 applies, what services it represents, and what to expect from major national payers in terms of coverage frameworks and billing considerations.
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Billing Code Overview
CPT code 44202 describes a laparoscopic resection of a portion of the small intestine with a single resection and anastomosis. The procedure involves removal of part of the small bowel and surgical reconnection of the intestinal ends using minimally invasive, laparoscopic techniques.
Service Type: Surgical — Laparoscopic small bowel resection with single anastomosis
Typical Site of Service: Hospital operating room or ambulatory surgery center (inpatient or outpatient surgical setting depending on clinical factors and patient status)