CPT® Code 44300

The CPT® Code 44300 refers to the procedure of placing an enterostomy or cecostomy tube through an open surgical approach. This procedure is categorized as a separate procedure, indicating that it is performed independently and not as part of another surgical operation. The primary purpose of this intervention is to facilitate feeding or to decompress the intestines. In the case of a feeding tube placement, the procedure involves making an incision in the abdomen to access the small intestine, typically the jejunum. The surgeon exposes a loop of the intestine and employs two concentric purse-string sutures in the seromuscular layer of the bowel. An incision is then made at the center of these sutures, allowing for the insertion of a catheter, which is advanced several centimeters into the intestine. The sutures are tightened around the catheter to secure it in place, and the catheter is then brought to the abdominal wall through a separate stab incision, where it is further secured with sutures. For a cecostomy tube placement, the procedure involves exposing and incising the cecum, threading a catheter into the cecum, and securing it with sutures. Similar to the feeding tube placement, a stab incision is made through the abdominal wall to allow the catheter to be advanced and secured. This detailed description highlights the surgical techniques involved in the placement of enterostomy and cecostomy tubes, emphasizing the procedural steps and the anatomical considerations necessary for successful outcomes.