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Proctoplasty is a surgical procedure aimed at addressing issues related to the rectum, specifically focusing on conditions such as stenosis, which is a narrowing of the rectal passage. The term "proctoplasty" encompasses various techniques that may be employed to rearrange or modify the rectal tissue to alleviate the symptoms associated with stenosis. In the context of CPT® Code 45500, the procedure is specifically performed to relieve stenosis by inspecting the narrowed segment of the rectum. The physician utilizes a series of incisions to effectively relieve the obstruction caused by the stenosis. This may involve rearranging the surrounding tissue or creating local flaps to widen the affected area. It is important to note that the techniques used in proctoplasty are not strictly defined, allowing for flexibility in the approach based on the individual patient's needs and the surgeon's expertise. The goal of the procedure is to restore normal function and alleviate discomfort associated with the stenosis, thereby improving the patient's quality of life.
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Proctoplasty for stenosis is indicated in patients who present with symptoms related to the narrowing of the rectal passage. The following conditions may warrant the performance of this procedure:
The procedure for proctoplasty for stenosis involves several critical steps to ensure effective treatment of the narrowed rectal segment. The following outlines the procedural steps:
Post-procedure care following proctoplasty for stenosis is essential for ensuring proper recovery and minimizing complications. Patients are typically monitored for any signs of infection or complications related to the surgical site. Pain management may be provided as needed, and patients are advised on dietary modifications to ease bowel movements during the recovery period. Follow-up appointments are crucial to assess the healing process and to ensure that the stenosis has been adequately addressed. Patients may also receive guidance on any necessary lifestyle changes to prevent recurrence of stenosis.
| Short Descr | REPAIR OF RECTUM | Medium Descr | PROCTOPLASTY STENOSIS | Long Descr | Proctoplasty; for stenosis | Status Code | Active Code | Global Days | 090 - Major Surgery | 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) | 0 - 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. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Hospital Part B services paid through a comprehensive APC | ASC Payment Indicator | Surgical procedure on ASC list in CY 2007; payment based on OPPS relative payment weight. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P5E - Ambulatory procedures - other | MUE | 1 | CCS Clinical Classification | 76 - Colonoscopy and biopsy |
| 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). | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | GC | This service has been performed in part by a resident under the direction of a teaching physician | KX | Requirements specified in the medical policy have been met | LT | Left side (used to identify procedures performed on the left side of the body) |
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| Pre-1990 | Added | Code added. |
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