CPT® Code 44314

The CPT® Code 44314 refers to the procedure known as the revision of an ileostomy, specifically categorized as a complicated revision involving reconstruction in-depth. This procedure is typically indicated when complications arise with the stoma, which is the opening created in the abdominal wall for the ileum to exit the body. Complications that may necessitate this revision include constriction or obstruction of the stoma, 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 bowel tissue. Unlike a simple revision, which may only involve superficial adjustments such as the release of scar tissue, a complicated revision requires more extensive surgical intervention. The procedure involves making a skin incision around the ileostomy, addressing any underlying issues such as adhesions, and potentially excising necrotic bowel tissue. The ileum is then reconstructed or relocated to ensure proper function and healing of the stoma. This procedure is classified as a separate procedure, indicating that it is distinct from other surgical interventions that may be performed concurrently.