CPT® Code 44345

The CPT® Code 44345 refers to the procedure known as the revision of a colostomy, specifically categorized as a complicated revision. This procedure is necessary when complications arise with the colostomy, which is an opening created in the abdominal wall for the discharge of waste from the colon. 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, necrosis of the bowel tissue, or the development of a parastomal hernia. In contrast to a simple revision, which may involve superficial adjustments such as the release of scar tissue, a complicated revision involves more extensive surgical intervention. This may include the excision of necrotic bowel tissue and the reconstruction or relocation of the stoma. The procedure typically requires a midline incision in the abdomen to allow for thorough inspection and mobilization of the affected bowel segment. The surgical approach is designed to address the underlying issues effectively, ensuring the proper functioning of the colostomy and improving the patient's quality of life.