CPT code 44346 denotes surgical revision of an existing colostomy, including release of the intestinal segment from the stoma, repair of entrapped bowel or hernia, removal of peristomal scar tissue, and recreation of the stoma at a new abdominal wall site. Nationally, this code captures a focused set of reconstructive procedures important for postoperative management of colostomy complications and for patients with parastomal hernias or stenosis. Payers use this code to classify surgical quality, utilization, and reimbursement for stoma-related reconstructive care.

Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. The analysis covers how these payers typically handle surgical stoma revision claims, common billing considerations, and where CPT code 44346 fits within procedural groupings used for authorization and payment.

Readers will learn the clinical context of the procedure, typical sites of service, and how CPT code 44346 is applied in billing workflows. The publication also summarizes benchmark metrics, common coding and billing issues, and recent policy updates affecting surgical revision of colostomies. Data not available in the input is noted where applicable.