CPT® Code 44340

The CPT® Code 44340 refers to the procedure known as the revision of a colostomy, specifically categorized as a simple revision involving the release of superficial scar tissue. This procedure is typically indicated when complications arise from the colostomy, such as 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, necrosis of the stoma, or the development of a parastomal hernia. During the procedure, a skin incision is made around the entire circumference of the colostomy to access the stoma. The surgeon may perform a local release of any scar tissue or adhesions surrounding the stoma. In some cases, the dissection may extend deeper through the fascia and peritoneum, allowing for the resection of the distal tip of the colon. This resection involves elevating the colon above the abdominal wall for a length of 3 to 5 centimeters, followed by the placement of retention sutures in the fascia and the resection of the distal tip. The colon is then everted and sutured to the skin and subcutaneous tissue, ensuring proper placement and function of the stoma. It is important to note that this code is designated as a separate procedure, indicating that it can be performed independently of other surgical interventions.