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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.
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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:
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:
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 |
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2005-01-01 | Added | First appearance in code book in 2005. |
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