CPT® Code 44127

Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; with tapering

The procedure described by CPT® Code 44127 involves an enterectomy, which is a surgical resection of a segment of the small intestine. This specific procedure is performed to address congenital atresia, a condition characterized by a complete obstruction of the small intestine that leads to the dilation of the intestinal segment located proximal to the obstruction site. In cases of congenital atresia, the affected segment of the intestine cannot function properly, resulting in potential complications such as abdominal distension and hypertrophy of the pylorus. The surgical approach typically involves a midline incision in the abdomen, allowing the surgeon to access and inspect the abdominal contents, including vital organs such as the liver and gallbladder. During the procedure, the surgeon identifies the dilated section of the small intestine, carefully dissects it from surrounding tissues, and manages blood vessels through clamping and ligation. The obstructed segment is then excised, and the remaining proximal and distal segments of the intestine are joined together through anastomosis. A key aspect of this procedure is the tapering of the dilated proximal segment, which is achieved by creating folds on the lateral antimesenteric side, thereby facilitating a more effective connection between the two segments. This tapering technique distinguishes CPT® Code 44127 from similar codes, such as 44126, which does not involve tapering. The procedure is critical for restoring intestinal continuity and function in patients with congenital atresia.