CPT® Code 44025

A colotomy is a surgical procedure that involves making an incision in the colon for various purposes, including exploration, biopsy, or the removal of foreign bodies. This procedure is typically performed when there is a need to investigate abnormalities within the colon, obtain tissue samples for diagnostic purposes, or extract any foreign objects that may have entered the gastrointestinal tract. During a colotomy, the surgeon first makes an incision in the abdomen to access the colon. The specific segment of the colon is then carefully exposed, removed from the abdominal cavity, and placed on the operating table for further examination. To facilitate the procedure, pressure is applied to the colon segment to express its contents, allowing for a clearer view of the internal structures. The colon is clamped both distal and proximal to the site of the incision to prevent the flow of intestinal contents during the operation. An incision is made in the colon itself, enabling the surgeon to explore the internal lumen for any abnormalities, collect tissue samples for pathological analysis, and remove any foreign bodies present. After the necessary interventions are completed, the colon incision is closed, the clamps are removed, and the colon segment is returned to the abdominal cavity. Finally, the abdominal incision is closed, completing the procedure.