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CPT 44620: Enterostomy Closure to Restore Intestinal Continuity
CPT code 44620 denotes the surgical closure of a previously created enterostomy to restore intestinal continuity. This procedure is clinically significant because it reverses a prior intestinal diversion—commonly performed after recovery from disease, injury, or as part of staged colorectal care—and has implications for surgical resource utilization, perioperative planning, and payer policy. Nationally, enterostomy closure is a routine but potentially complex abdominal surgery that affects inpatient surgical volumes and post-acute care needs.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical context for enterostomy reversal, typical sites of service, and the service classification. The publication summarizes common modifiers and payer considerations, presents benchmarking context where available, and highlights policy or coding updates relevant to surgical closure of enterostomies. Intended audiences include surgical providers, billing and coding professionals, and payer policy teams seeking a clear reference on CPT code 44620 and its role in surgical care pathways.
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Billing Code Overview
CPT code 44620 describes the surgical closure of a previously created enterostomy, restoring an uninterrupted gastrointestinal tract after a patient no longer requires intestinal diversion. The procedure involves takedown of an established stoma and reestablishing intestinal continuity.
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Service type: Surgical, general/abdominal surgery
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Typical site of service: Inpatient hospital operating room or ambulatory surgery center, depending on patient condition and clinical complexity
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