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The procedure described by CPT® Code 44393 involves a colonoscopy performed through a stoma, specifically a colostomy opening. During this procedure, an endoscope is introduced into the stoma to inspect the mucosal surfaces of the colon for any abnormalities. The endoscope allows for a thorough examination of the colon's interior, enabling the physician to identify tumors, polyps, or other lesions that may not be suitable for removal using standard techniques such as hot biopsy forceps, bipolar cautery, or snare methods. In cases where these conventional methods are inadequate, the procedure utilizes ablation techniques, such as laser ablation, to effectively destroy the identified lesions. The laser device is carefully maneuvered through the endoscope to the proximal margin of the lesion, and as the endoscope is retracted, the laser ablates the lesion by traversing its entire surface, ensuring complete destruction of the abnormal tissue. This approach is particularly beneficial for lesions that are challenging to remove through less invasive means, providing a targeted and effective treatment option for patients with significant colorectal abnormalities.
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The procedure described by CPT® Code 44393 is indicated for patients presenting with specific colorectal abnormalities that require intervention. These indications include:
The procedure for CPT® Code 44393 involves several critical steps to ensure effective ablation of the identified lesions. These steps include:
After the completion of the procedure, patients may require specific post-procedure care to ensure proper recovery. This may include monitoring for any complications, managing pain, and providing instructions for follow-up care. Patients should be advised to report any unusual symptoms or complications to their healthcare provider promptly. Additionally, follow-up appointments may be necessary to assess the effectiveness of the ablation and to monitor for any recurrence of lesions.
| Short Descr | COLONOSCOPY LESION REMOVAL | Medium Descr | COLONOSCOPY STOMA ABLATION LESION | Long Descr | Colonoscopy through stoma; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique | Status Code | Active Code | Global Days | 000 - Endoscopic or Minor Procedure | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 3 - Special rules for multiple endoscopic procedures apply... | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 9 - Concept does not apply. | Assistant Surgeon (80, 82) | 1 - Statutory payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Endoscopic Base Code | 44388 Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Procedure or Service, Multiple Reduction Applies | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P8D - Endoscopy - colonoscopy | MUE | Not applicable/unspecified. | CCS Clinical Classification | 76 - Colonoscopy and biopsy |
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| 2015-01-01 | Deleted | Code deleted, see 44401 |
| 2011-01-01 | Changed | Short description changed. |
| Pre-1990 | Added | Code added. |
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