CPT® Code 44393

Deleted

Colonoscopy through stoma; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique

The procedure described by CPT® Code 44393 involves a colonoscopy performed through a stoma, specifically a colostomy opening. During this procedure, an endoscope is introduced into the stoma to inspect the mucosal surfaces of the colon for any abnormalities. The endoscope allows for a thorough examination of the colon's interior, enabling the physician to identify tumors, polyps, or other lesions that may not be suitable for removal using standard techniques such as hot biopsy forceps, bipolar cautery, or snare methods. In cases where these conventional methods are inadequate, the procedure utilizes ablation techniques, such as laser ablation, to effectively destroy the identified lesions. The laser device is carefully maneuvered through the endoscope to the proximal margin of the lesion, and as the endoscope is retracted, the laser ablates the lesion by traversing its entire surface, ensuring complete destruction of the abnormal tissue. This approach is particularly beneficial for lesions that are challenging to remove through less invasive means, providing a targeted and effective treatment option for patients with significant colorectal abnormalities.