CPT® Code 44620

The procedure described by CPT® Code 44620 involves the surgical closure of an enterostomy, which is an opening created in the abdominal wall to allow the intestine to discharge waste. This can pertain to either the large or small intestine. During this procedure, if there is a duodenostomy or jejunostomy present, these are also removed. The process begins with the physician making a small incision in the abdomen, located near the site of the existing enterostomy. The surgeon then carefully releases the intestine from the abdominal wall, exposing the opening in the intestine itself. To ensure a proper closure, the edges of this intestinal opening are debrided, meaning any unhealthy tissue is removed, and trimmed to create a clean edge. Following this, the opening is sutured closed, effectively sealing the intestine. The next step involves closing the enterostomy site in the abdominal wall, followed by the closure of the abdominal incision. This procedure is critical for restoring normal intestinal function and preventing complications associated with an open enterostomy.