44680 Intestinal revision Medicare reimbursement rates in Maine

A surgeon uses this service to revise previously altered intestinal anatomy, including a blind-loop configuration after earlier intestinal surgery. The work may involve changing an intestinal connection or bypass to address the problem created by the prior anatomy. It is generally performed in an operating room, often in a hospital or other facility setting. The operative report should identify the prior reconstruction, the clinical problem prompting revision, the bowel segments and connections addressed, and the corrective work performed.

Select this code for the revision itself, not simply because bowel is resected or an anastomosis is created during another operation. Distinguish it from a focused stricturoplasty or closure of an enterostomy by the documented operative objective. The service has a 90-day global period, including the day-before preoperative visit and related postoperative care for 90 days. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.