CPT® Code 44365

Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery

The CPT® Code 44365 refers to a specific medical procedure known as small intestinal endoscopy, particularly focusing on the enteroscopy that extends beyond the second portion of the duodenum, excluding the ileum. This procedure involves the endoscopic examination of the small intestine, where the physician inspects the mucosal surfaces for any abnormalities. During this examination, the physician may encounter tumors, polyps, or other lesions that require removal. The removal of these lesions is accomplished using specialized tools such as hot biopsy forceps or bipolar cautery. The procedure begins with the administration of an anesthetic spray to numb the mouth and throat, followed by the insertion of a flexible fiberoptic endoscope. This endoscope is advanced through the gastrointestinal tract, allowing for direct visualization of the duodenum and potentially the jejunum. The procedure is designed to provide a thorough inspection and intervention for lesions that may pose health risks, ensuring that any identified abnormalities are addressed effectively. The use of hot biopsy forceps allows for simultaneous removal and cauterization of tissue, while bipolar cautery provides an alternative method for lesion removal, utilizing electrical current to achieve the same outcome. This procedure is critical for diagnosing and treating conditions affecting the small intestine, particularly in cases where lesions are present.