CPT® Code 44660

An enterovesical fistula is defined as an abnormal connection that forms between a segment of the intestine and the urinary bladder. This condition can arise due to various underlying issues, with diverticular disease of the colon being the most prevalent cause. Other significant contributors include colon cancer, inflammatory bowel diseases such as Crohn's disease, complications resulting from radiation therapy, and trauma to the abdominal area. The surgical procedure associated with CPT® Code 44660 involves the closure of this fistula without the need for resection of either the intestine or the bladder. During the operation, the abdomen is surgically opened to locate the fistulous tract. Once identified, the tract is divided, effectively separating the bladder from the bowel. A thorough examination of the tract is conducted to assess whether a primary closure is feasible or if resection is necessary. In the case of CPT® Code 44660, the procedure focuses on performing a primary closure, which entails excising the fistulous tract and individually repairing the openings in both the bowel and bladder using sutures. This approach aims to restore normal anatomical function and prevent future complications associated with the fistula.