CPT 44205 Laparoscopic Ileocolic Resection Reimbursement | OpenPayer

Summary & Overview

CPT 44205: Laparoscopic Partial Colectomy with Ileocolic Resection

CPT code 44205 denotes a laparoscopic partial colectomy that includes resection of the terminal ileum and creation of an ileocolic anastomosis. This surgical procedure is a commonly performed abdominal operation for conditions that require removal of diseased segments of the right colon and distal ileum, and its laparoscopic approach is associated with shorter recovery times and reduced postoperative pain compared with open techniques. Nationally, this code is an important marker of operative management for colorectal disease and figures in utilization, payment, and quality discussions across payers.

Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise explanation of the clinical service represented by the code, the typical settings where the procedure is performed, and the payer landscape relevant to reimbursement and coverage policy. The publication outlines benchmark themes, expected billing considerations, and clinical context needed to interpret utilization patterns. Where input data is missing, the text notes that information is not available.

The audience will gain clarity on what CPT code 44205 represents, why it matters for surgical and payer stakeholders, and the types of benchmarks and policy updates that typically accompany analyses of laparoscopic colectomy coding and coverage.

AetnaBlue Cross Blue ShieldCigna HealthUnitedHealthcareMedicare44205CPTcolorectal surgerylaparoscopic colectomyileocolic anastomosissurgical servicesinpatient surgeryoutpatient surgery

Billing Code Overview

CPT code 44205 describes a laparoscopic partial colectomy with resection of the terminal ileum and an ileocolic anastomosis. This procedure involves minimally invasive removal of a segment of the colon along with the end of the ileum, followed by surgical connection of the remaining ileum and colon.

Service Type: Laparoscopic partial colectomy with ileocolic resection and anastomosis

Typical Site of Service: Hospital inpatient or outpatient surgical center

Data not available in the input.

Clinical & Coding Specifications

Clinical Context

A typical patient is a 62-year-old with symptomatic ileocolic Crohn disease presenting with recurrent obstructing symptoms, chronic right lower quadrant pain, weight loss, and failure of medical management. After preoperative optimization including nutritional assessment and cessation of immunosuppressive biologic therapy per institutional protocol, the patient is scheduled for an elective laparoscopic partial colectomy with ileocecal resection and primary ileocolic anastomosis.

Preoperative workflow includes history and physical, informed consent documenting risks of bleeding, infection, anastomotic leak, and conversion to open surgery, bowel preparation per surgeon preference, and anesthesia evaluation. Intraoperative workflow begins with laparoscopic access, diagnostic laparoscopy, mobilization of the terminal ileum and right colon, resection of the diseased segment, and creation of a hand-sewn or stapled ileocolic anastomosis. The procedure may be converted to an open right hemicolectomy if visualization, adhesions, or hemostasis necessitate. Postoperative care includes inpatient monitoring for return of bowel function, pain control, DVT prophylaxis, and discharge planning with outpatient follow-up for pathology review and wound check.

Coding Specifications

Modifier	Description	When to Use
`22`	Unusual procedural services	Use when the surgery requires significantly greater work, time, or technical difficulty documented in the operative report.

CPT 44207: Laparoscopic Partial Colectomy with Colorectal Anastomosis

CPT-44203-LAPAROSCOPIC-ADDITIONAL-SMALL-INTESTINE-RESECTION-ANASTOMOSIS

CPT 44203: Additional Laparoscopic Small Intestine Resection and Anastomosis

CPT-44210-LAPAROSCOPIC-TOTAL-COLECTOMY-ILEOPROCTOSTOMY-OR-ILEOSTOMY

CPT 44210: Laparoscopic Total Colectomy with Ileoproctostomy or Ileostomy

CPT-44211-LAPAROSCOPIC-TOTAL-COLECTOMY-ILEOANAL-POUCH-LOOP-ILEOSTOMY

CPT 44211: Laparoscopic Total Colectomy with Ileal Pouch and Loop Ileostomy

CPT-44202-LAPAROSCOPIC-SMALL-BOWEL-RESECTION-SINGLE-ANASTOMOSIS

CPT 44202: Laparoscopic Small Bowel Resection with Single Anastomosis

CPT-44212-LAPAROSCOPIC-TOTAL-COLECTOMY-PROCTECTOMY-ILEOSTOMY

CPT 44212: Laparoscopic Total Colectomy with Proctectomy and Ileostomy

CPT-44206-LAPAROSCOPIC-PARTIAL-COLECTOMY-END-COLOSTOMY

CPT 44206: Laparoscopic Partial Colectomy with End Colostomy

CPT-44204-LAPAROSCOPIC-PARTIAL-COLECTOMY-PRIMARY-ANASTOMOSIS

CPT 44204: Laparoscopic Partial Colectomy with Primary Anastomosis

CPT-44213-LAPAROSCOPIC-SPLENIC-FLEXURE-MOBILIZATION-ADD-ON

CPT 44213: Laparoscopic Mobilization of Splenic Flexure (Add-on)

CPT-44208-LAPAROSCOPIC-PARTIAL-COLECTOMY-COLOPROCTOSTOMY-COLOSTOMY

CPT 44208: Laparoscopic Partial Colectomy with Coloproctostomy and Colostomy

Taxonomy Code	Specialty	Notes
207R00000X	Colon and Rectal Surgery	Surgeons specializing in colorectal procedures commonly perform laparoscopic ileocolic resections.
208800000X	General Surgery	General surgeons frequently perform laparoscopic colectomies including ileocolic anastomosis.
2080P0202X	Surgery - Minimally Invasive	Surgeons focused on laparoscopic and minimally invasive abdominal surgery perform these procedures.
207K00000X	Gastroenterology Surgery (Colorectal-focused)	Some colorectal specialists with surgical privileges may be involved in operative planning or complex cases.
208600000X	Pediatric Surgery	Applicable when procedure performed in pediatric patients (less common).

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`K50.00`	Crohn disease of small intestine without complications	Crohn disease involving the terminal ileum often necessitates ileocecal resection when medical therapy fails.
`K50.10`	Crohn disease of large intestine without complications	Colonic Crohn disease may require partial colectomy when localized and refractory.
`K57.20`	Diverticulitis of large intestine without perforation or abscess	Complicated diverticulitis or recurrent disease can lead to partial colectomy.
`C18.0`	Malignant neoplasm of cecum	Right-sided colon cancer commonly requires right hemicolectomy with ileocolic anastomosis.
`K35.80`	Acute appendicitis, other and unspecified	Intraoperative findings of appendiceal pathology or extension may lead to limited ileocolic resection.
`K63.5`	Polyp of colon, unspecified	Large or unresectable polyps may require segmental colectomy.
`K57.32`	Diverticulitis of large intestine with perforation and abscess	Severe diverticular disease with complications can necessitate resection and anastomosis.
`I82.401`	Acute embolism and thrombosis of unspecified deep veins of lower extremity	Represented here as a perioperative comorbidity affecting perioperative risk assessment.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`44204`	Laparoscopy, surgical; colectomy, partial, with anastomosis (e.g., right hemicolectomy) (separate code for extent)	May be reported for partial colectomy of a different colonic segment or when coding conventions specify variant extent.
`44207`	Laparoscopy, surgical; colectomy, partial, with coloproctostomy (low pelvic anastomosis)	Used when the resection includes lower colon with anastomosis to the rectum rather than ileocolic anastomosis.
`44625`	Enterolysis (separate procedure)	May be performed at the same session to lysate adhesions that complicate laparoscopic access or mobilization.
`44005`	Enterotomy, small intestine, laparoscopic (for incidental enterotomy repair)	Billed if an inadvertent enterotomy occurs and requires repair during the colectomy.
`44160`	Open partial colectomy with anastomosis (e.g., right hemicolectomy)	Reported when conversion from laparoscopic to open approach occurs and the open code is appropriate.
`44208`	Laparoscopy, surgical; colectomy, partial, with resection of additional segments (extended resections)	Used when a more extensive laparoscopic colectomy is performed involving additional colonic segments.

OpenPayer