Coding Ahead
CasePilot
Medical Coding Assistant
Case2Code
Search and Code Lookup Tool
RedactPHI
HIPAA-Compliant PHI Redaction
DetectICD10CM
ICD-10-CM Code Detection
Log in Register free account
1 code page views remaining. Guest accounts are limited to 1 page view. Register free account to get 5 more views.
Log in Register free account

Official Description

Backbench standard preparation of cadaver or living donor intestine allograft prior to transplantation, including mobilization and fashioning of the superior mesenteric artery and vein

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

The CPT® Code 44715 refers to the backbench standard preparation of a cadaver or living donor intestine allograft prior to transplantation. This procedure is critical in ensuring that the allograft is adequately prepared for successful transplantation into a recipient. The process begins with the careful removal of the allograft from its sterile container, followed by its placement on ice to maintain a cold preservation environment. This is essential to keep the graft viable until it is ready for implantation. During the preparation, the graft is thoroughly inspected to confirm its integrity and health, which are vital factors for a successful transplant. Additionally, the surrounding soft tissues are meticulously dissected away from the graft to expose the mesenteric artery and vein. These vessels are then identified and examined to ensure they are intact and possess sufficient length for the necessary anastomosis. In cases where the mesenteric artery and vein do not meet the required length, separate procedures may be performed to reconstruct them. Throughout this preparation phase, the graft remains in a cold preservation bath, ensuring its viability until the recipient is prepared for the transplant procedure.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

The backbench standard preparation of cadaver or living donor intestine allograft is indicated for patients requiring intestinal transplantation. This procedure is performed to ensure that the allograft is adequately prepared for successful implantation into the recipient. The indications for this procedure include:

  • Intestinal Failure Patients suffering from conditions that lead to the inability to absorb nutrients effectively, necessitating transplantation.
  • Short Bowel Syndrome A condition where a significant portion of the small intestine is absent or non-functional, requiring transplantation to restore digestive function.
  • Congenital Anomalies Patients born with structural abnormalities of the intestine that impair its function and necessitate transplantation.
  • Trauma Individuals who have sustained severe injuries to the intestine that cannot be repaired, leading to the need for a transplant.

2. Procedure

The procedure for backbench standard preparation of the intestine allograft involves several critical steps to ensure the graft is ready for transplantation. These steps include:

  • Step 1: Removal from Sterile Container The allograft is carefully removed from its sterile container, ensuring that it is handled in a manner that maintains its sterility and integrity.
  • Step 2: Placement on Ice Once removed, the graft is placed on ice to maintain a cold preservation environment, which is crucial for keeping the graft viable until it is ready for implantation.
  • Step 3: Inspection of the Graft The graft undergoes a thorough inspection to confirm that it is intact and healthy enough for transplantation. This step is vital to ensure the success of the transplant.
  • Step 4: Dissection of Surrounding Soft Tissues The surrounding soft tissues are meticulously dissected away from the graft to expose the mesenteric artery and vein, which are essential for the anastomosis during transplantation.
  • Step 5: Identification and Inspection of Mesenteric Vessels The mesenteric artery and vein are identified and inspected to ensure they are intact and of adequate length for the anastomosis. This assessment is critical for the success of the transplant procedure.
  • Step 6: Reconstruction if Necessary If the mesenteric artery and vein are found to be insufficient in length, they may require reconstruction through separately reportable procedures to ensure they can be properly connected during transplantation.
  • Step 7: Maintenance in Cold Preservation Throughout the preparation process, the graft is maintained in a cold preservation bath to ensure its viability until the recipient is ready for the transplant procedure.

3. Post-Procedure

After the backbench preparation of the intestine allograft, the graft is kept in a cold preservation environment until the recipient is prepared for the transplant procedure. It is essential to monitor the graft's condition during this time to ensure it remains viable. The surgical team must be ready to proceed with the transplantation as soon as the recipient is available, as any delay could compromise the graft's viability. Additionally, proper documentation of the preparation process is necessary for compliance and billing purposes.

Short Descr PREPARE DONOR INTESTINE
Medium Descr BKBENCH PREP CADAVER/LIVING DONOR INTESTINE
Long Descr Backbench standard preparation of cadaver or living donor intestine allograft prior to transplantation, including mobilization and fashioning of the superior mesenteric artery and vein
Status Code Carriers Price the Code
Global Days XXX - Global Concept Does Not Apply
PC/TC Indicator (26, TC) 0 - Physician Service Code
Multiple Procedures (51) 2 - Standard payment adjustment rules for multiple procedures apply.
Bilateral Surgery (50) 0 - 150% payment adjustment for bilateral procedures does NOT apply.
Physician Supervisions 09 - Concept does not apply.
Assistant Surgeon (80, 82) 2 - Payment restriction for assistants at surgery does not apply to this procedure...
Co-Surgeons (62) 1 - Co-surgeons could be paid, though supporting documentation is required...
Team Surgery (66) 0 - Team surgeons not permitted for this procedure.
Diagnostic Imaging Family 99 - Concept Does Not Apply
APC Status Indicator Inpatient Procedures, not paid under OPPS
Type of Service (TOS) 2 - Surgery
Berenson-Eggers TOS (BETOS) P1G - Major procedure - Other
MUE 1
51 Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d).
80 Assistant surgeon: surgical assistant services may be identified by adding modifier 80 to the usual procedure number(s).
82 Assistant surgeon (when qualified resident surgeon not available): the unavailability of a qualified resident surgeon is a prerequisite for use of modifier 82 appended to the usual procedure code number(s).
GC This service has been performed in part by a resident under the direction of a teaching physician
Date
Action
Notes
2005-01-01 Added First appearance in code book in 2005.
Code
Description
Code
Description
Code
Description
Code
Description
CasePilot

Get instant expert-level medical coding assistance.

Ask about:
CPT Codes Guidelines Modifiers Crosswalks NCCI Edits Compliance Medicare Coverage
Example: "What is CPT code 99213?" or "Guidelines for E/M services"