CPT® Code 44701

Add-On Code

Intraoperative colonic lavage is a specialized medical procedure aimed at cleansing the colon of fecal matter, which is particularly important prior to conducting a colectomy or colon repair. This procedure is performed during surgery and is essential for ensuring that the surgical field is clear of any obstructive material that could complicate the primary surgical intervention. The process begins with the mobilization of the splenic flexure, allowing the surgeon to effectively manipulate the colon. Manual massage is then employed to move the contents of the colon into the descending colon, facilitating the removal of fecal matter. To aid in this process, a drain is inserted into the descending colon, which serves as an outlet for the evacuated fecal material. An incision is made in the cecum, where a catheter is introduced. This catheter is crucial for delivering an irrigating solution into the colon, which, when combined with the manual massage, helps to break up any solid stool present. The combination of stool and irrigating solution is then expelled from the descending colon through the drain. Once the lavage is completed, the catheter and drain are removed, and the incision in the cecum is closed. Following this preparatory step, the surgeon can proceed with the definitive surgical procedure, ensuring optimal conditions for the operation.