CPT® Code 44020

An enterotomy is a surgical procedure that involves making an incision in a segment of the small intestine, specifically excluding the duodenum. This procedure is primarily performed for three main purposes: exploration of the intestinal lumen, obtaining biopsy samples for pathological analysis, or removing foreign bodies that may be obstructing the intestinal tract. During the procedure, the surgeon makes an incision in the abdomen to access the small intestine, which is then carefully exposed. The targeted segment of the intestine is removed from the abdominal cavity and placed on the operating table for further examination. To facilitate the exploration, pressure is applied to the intestinal segment to express its contents, allowing for a clearer view of the internal structures. The surgeon then clamps the intestine both distal and proximal to the site of the incision to prevent the contents from spilling into the abdominal cavity. An incision is made in the intestinal wall, and the internal lumen is explored for any abnormalities or foreign objects. If necessary, tissue samples are collected and sent to a laboratory for further examination. In cases where a foreign body is identified, it is carefully extracted. After the necessary procedures are completed, the intestinal incision is closed, the clamps are removed, and the intestinal segment is returned to its original position within the abdomen. Finally, the abdominal incision is closed to complete the surgery. This procedure is distinct from CPT® Code 44021, which describes an enterotomy performed specifically for decompression of the intestine.