CPT® Code 44126

Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; without tapering

The CPT® Code 44126 refers to an enterectomy, specifically the resection of the small intestine due to congenital atresia, which is a birth defect characterized by the complete obstruction of the small intestine. This condition leads to the dilation of the intestinal segment that is proximal to the obstruction, potentially causing complications such as stomach dilation and hypertrophy of the pylorus. During the procedure, the surgeon makes a midline incision in the abdomen to access the abdominal cavity, allowing for a thorough inspection of the internal organs, including the liver and gallbladder. The obstructed and dilated section of the small intestine is carefully identified and separated from surrounding tissues. Blood vessels supplying this segment are clamped and ligated to prevent excessive bleeding. The surgeon then divides the small intestine using either staples or noncrushing clamps, removing the dilated segment. The remaining proximal and distal segments of the small intestine are then sutured together in a process known as anastomosis. In the case of CPT® Code 44126, this anastomosis is performed without tapering the dilated proximal segment, which distinguishes it from similar procedures that involve tapering. This code is applicable for a single resection and anastomosis, while additional segments requiring similar intervention are coded differently.