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The CPT® Code 44312 refers to the procedure known as the revision of an ileostomy, specifically categorized as a simple revision involving the release of superficial scar tissue. An ileostomy is a surgical opening created in the abdominal wall to allow the ileum, which is the last part of the small intestine, to bypass the colon and exit the body. This procedure may become necessary due to various complications that can arise with the stoma, such as constriction or obstruction, prolapse of the intestine through the stoma, retraction of the intestine causing the stoma to sink below the skin level, detachment of the intestine from the skin, or necrosis of the tissue surrounding the stoma. In the context of CPT® Code 44312, the simple revision focuses on addressing superficial scar tissue that may be causing issues with the stoma's function. The procedure involves making a skin incision around the entire circumference of the ileostomy, allowing for local release of any scar tissue or adhesions that may be present. This careful approach aims to restore the proper function of the stoma while minimizing complications and promoting healing.
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