CPT® Code 44650

The procedure described by CPT® Code 44650 involves the surgical closure of an enteroenteric or enterocolic fistula. An enteroenteric fistula refers to an abnormal connection between two segments of the small intestine, while an enterocolic fistula is an abnormal passage between a segment of the small intestine and a segment of the colon, which is the large intestine. These fistulas can result from various conditions, including inflammatory diseases, infections, or surgical complications. During the procedure, the surgeon makes an incision in the abdomen to access the affected area. The fistulous tract, which is the abnormal passage, is identified and then severed at both ends where it connects to the intestines. After excising the tract, the openings in the intestines are meticulously closed using sutures to restore the integrity of the intestinal walls. Finally, the surgical incision in the abdomen is closed, completing the procedure. This intervention is critical for preventing complications associated with fistulas, such as infection, malnutrition, and bowel obstruction.