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CPT 44380: Stomal Ileoscopy, Endoscopic Examination of Ileum
CPT code 44380 represents a diagnostic endoscopic examination of the ileum performed through a previously created stoma, with sampling by brushing or washing when indicated. Nationally, this code captures procedures used to evaluate postoperative or stoma-related bowel disease, surveillance of known ileal pathology, and diagnostic assessment when access via the stoma is clinically necessary. Accurate coding supports proper clinical documentation, continuity of care, and claims adjudication for services rendered in outpatient and ambulatory surgical settings.
Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of the clinical context for the procedure, typical sites of service, and common billing modifiers associated with this service. The publication outlines benchmarks and payer coverage considerations, summarizes policy and documentation expectations that influence reimbursement decisions, and provides clinical context to help coding and billing professionals match documentation to code selection. Data not available in the input is noted where applicable, and the content is presented for a national audience to support accurate use of CPT code 44380 across payers.
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Billing Code Overview
CPT code 44380 describes endoscopic examination of the ileum performed through an existing stoma. The procedure uses a tubular endoscope with a light source and camera inserted via the stoma to visualize the ileal mucosa for evidence of bowel disease. Suspicious areas may be sampled by brushing or lavage to collect cells for laboratory analysis.
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Service type: Endoscopic diagnostic procedure (stomal ileoscopy)
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Typical site of service: Ambulatory surgical center or hospital outpatient department via a surgically created stoma