CPT code 44227 denotes the surgical takedown of a previously created enterostomy with excision of scarred or devitalized bowel ends and primary anastomosis to restore normal intestinal continuity. This code captures a definitive reconstructive bowel procedure performed when an ostomy is reversed and continuity is re-established. Nationally, it is a significant code for surgical departments, inpatient quality metrics, and payer authorization and coverage policies because it involves operative risk, potential readmission drivers, and post-operative resource use.

Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find clinical context for when the procedure is used, typical sites of service, and common billing considerations tied to operative complexity. The publication also outlines benchmarks and policy-relevant points affecting coverage and utilization review, including typical settings (inpatient hospital, outpatient hospital, ambulatory surgical center) and why accurate coding matters for case mix, quality reporting, and reimbursement.

The report summarizes what clinicians, coders, and administrators need to know about CPT code 44227: the clinical scenario it represents, implications for perioperative care and documentation, and where to look for payer-specific coverage rules. Data not available in the input are noted explicitly where relevant.