CPT® Code 44602

Suture repair of the small intestine, known as enterorrhaphy, is a surgical procedure aimed at addressing a perforation in the small intestine caused by various conditions such as ulcers, diverticula, wounds, injuries, or ruptures. This procedure is critical in preventing further complications, such as peritonitis, which can arise from the leakage of intestinal contents into the abdominal cavity. During the surgery, an incision is made in the abdomen to access the affected segment of the small intestine. The surgeon carefully removes the segment that requires repair and places it on the operating table for further manipulation. The intestinal contents are expressed from the segment to ensure a clean working area. To facilitate the repair, the intestine is clamped above and below the perforation, allowing for controlled management of the area. Any bleeding that may occur is addressed through suture ligation of the involved blood vessels. The actual closure of the perforation involves suturing the mucous membranes first, followed by the serous coat, and finally the muscular wall, ensuring a secure and effective repair. After the repair is completed, the abdominal cavity is thoroughly cleansed using gauze and irrigation fluid as necessary to minimize the risk of infection. Drains may be placed if required, and the abdominal incision is then closed. This procedure is specifically coded as CPT® Code 44602 when a single perforation is repaired, while CPT® Code 44603 is used for cases involving multiple perforations.