Summary & Overview
CPT 44625: Revision of Enterostomy, Surgical Repair
CPT code 44625 identifies a surgical revision of a previously created enterostomy, where the adhered segment of intestine is separated from the abdominal wall and reattached to the small or large intestine. This code is nationally relevant because enterostomy revisions are performed to manage complications such as adhesion, stenosis, prolapse, or persistent fistula, and they impact surgical utilization, hospital resource use, and post-operative care pathways.
Key payers covered in the analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of clinical context for the procedure, typical sites of service, common billing considerations, and how this service is categorized for procedural tracking. The publication outlines benchmarks and payment policy context where available, highlights coding and documentation priorities tied to surgical revision of enterostomies, and notes areas where data was not provided in the input. The material is intended for billing staff, surgical providers, and policy analysts who need a concise national-level reference for coding and administrative planning.
Billing Code Overview
CPT code 44625 describes a revision of a previously created enterostomy, involving detaching the adhered portion of intestine from the abdominal wall and reattaching it to the small or large intestine. This procedure addresses complications or functional issues related to an existing enterostomy and restores intestinal continuity.
-
Service type: Surgical revision of enterostomy
-
Typical site of service: Hospital operating room or ambulatory surgical center depending on clinical complexity and patient needs
Clinical & Coding Specifications
Clinical Context
A 62-year-old patient with a prior end colostomy created after emergency sigmoid resection presents months later with stomal retraction, peristomal skin breakdown, and difficulty maintaining an appliance seal. The surgical team evaluates the stoma at clinic and documents chronic retraction with recurring dermatitis and intermittent obstruction symptoms. The multidisciplinary workflow includes preoperative assessment by colorectal surgery, medical clearance from primary care or hospitalist, stoma nurse education, and planning for an enterostomy revision under general anesthesia in an operating room. Intraoperative steps include mobilization of the stoma, transection of the adhered bowel segment at the abdominal wall, revision of the mucocutaneous junction, and reanastomosis of the bowel to itself or refashioning of the stoma to the small or large intestine as indicated. Postoperative care includes monitoring for return of bowel function, pain control, stoma assessment, wound care, and coordination with ostomy nursing for appliance refitting before discharge to home or short inpatient stay.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 | No modifier | Standard reporting when no modifier is applicable to the service |
11 |