Tracked Codes Report For Defined Category Only

Area: ALIM TR-LARGE INT Type: ABDOMINO-PERINEAL RESECTION

Code Def Cat Description

45110 Large Intestine/DC Proctectomy; complete, combined abdominoperineal, with and Vasc Exposure 45111 Large Intestine/DC Proctectomy; partial resection of rectum, transabdominal approach and Vasc Exposure 45112 Large Intestine/DC Proctectomy, combined abdominoperineal, pull-through procedure (eg, colo-anal anastomosis) and Vasc Exposure 45113 Large Intestine/DC Proctectomy, partial, with rectal mucosectomy, ileoanal anastomosis, creation of ileal reservoir (S or J), and Vasc with or without loop Exposure 45114 Large Intestine/DC Proctectomy, partial, with anastomosis; abdominal and transsacral approach and Vasc Exposure 45123 Large Intestine/DC Proctectomy, partial, without anastomosis, perineal approach and Vasc Exposure 45126 Large Intestine/DC Pelvic exenteration for colorectal malignancy, with proctectomy (with or without colostomy), with removal of and Vasc bladder and ureteral transplantations, and/or hysterectomy, or cervicectomy, with or without removal of Exposure tube(s), with or without removal of ovary(s), or any combination thereof

Area: ALIM TR-LARGE INT Type: COLECTOMY W/ CONTINENT RECONSTRUCT

Code Def Cat Description

44151 Large Intestine/DC Colectomy, total, abdominal, without proctectomy; with continent ileostomy and Vasc Exposure 44156 Large Intestine/DC Colectomy, total, abdominal, with proctectomy; with continent ileostomy and Vasc Exposure 44799 Large Intestine/DC Unlisted procedure, and Vasc Exposure 45120 Large Intestine/DC Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with pull-through and Vasc procedure and anastomosis (eg, Swenson, Duhamel, or Soave type operation) Exposure

Area: ALIM TR-LARGE INT Type: COLECTOMY W/ ILEOANAL PULL-THRU

Code Def Cat Description

44157 Large Intestine/DC Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, includes loop ileostomy, and and Vasc rectal mucosectomy, when performed Exposure 44158 Large Intestine/DC Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, creation of ileal reservoir (S or and Vasc J), includes loop ileostomy, and rectal mucosectomy, when performed Exposure 45121 Large Intestine/DC Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with subtotal or total and Vasc colectomy, with multiple biopsies Exposure

Area: ALIM TR-LARGE INT Type: COLECTOMY/PROCTECTOMY-LAPAROSCOPIC

Code Def Cat Description

44204 Large Laparoscopy, surgical; colectomy, partial, with anastomosis Intestine/Laparosc opic - Complex/DC and Vasc Exposure

© 2017 Accreditation Council for Graduate Medical Education (ACGME) 1 11/16/2017 44205 Large Laparoscopy, surgical; colectomy, partial, with removal of terminal with ileocolostomy Intestine/Laparosc opic - Complex/DC and Vasc Exposure 44206 Large Laparoscopy, surgical; colectomy, partial, with end colostomy and closure of distal segment (Hartmann Intestine/Laparosc type procedure) opic - Complex/DC and Vasc Exposure 44207 Large Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis) Intestine/Laparosc opic - Complex/DC and Vasc Exposure 44208 Large Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis) Intestine/Laparosc with colostomy opic - Complex/DC and Vasc Exposure 44210 Large Laparoscopy, surgical; colectomy, total, abdominal, without proctectomy, with ileostomy or ileoproctostomy Intestine/Laparosc opic - Complex/DC and Vasc Exposure 44211 Large Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileoanal anastomosis, creation Intestine/Laparosc of ileal reservoir (S or J), with loop ileostomy, includes rectal mucosectomy, when performed opic - Complex/DC and Vasc Exposure 44212 Large Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileostomy Intestine/Laparosc opic - Complex/DC and Vasc Exposure 44213 Large Laparoscopy, surgical, mobilization (take-down) of splenic flexure performed in conjunction with partial Intestine/Laparosc colectomy (List separately in addition to primary procedure) opic - Complex/DC and Vasc Exposure 44238 Large Unlisted laparoscopy procedure, intestine (except rectum) Intestine/Laparosc opic - Complex/DC and Vasc Exposure 45395 Large Laparoscopy, surgical; proctectomy, complete, combined abdominoperineal, with colostomy Intestine/Laparosc opic - Complex/DC and Vasc Exposure 45397 Large Laparoscopy, surgical; proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal Intestine/Laparosc anastomosis), with creation of colonic reservoir (eg, J-pouch), with diverting enterostomy, when performed opic - Complex/DC and Vasc Exposure 45400 Large Laparoscopy, surgical; proctopexy (for prolapse) Intestine/Laparosc opic - Complex/DC and Vasc Exposure 45402 Large Laparoscopy, surgical; proctopexy (for prolapse), with sigmoid resection Intestine/Laparosc opic - Complex/DC and Vasc Exposure 45499 Large Unlisted laparoscopy procedure, rectum Intestine/Laparosc opic - Complex/DC and Vasc Exposure

Area: ALIM TR-LARGE INT Type: COLECTOMY/PROCTECTOMY-OPEN

© 2017 Accreditation Council for Graduate Medical Education (ACGME) 2 11/16/2017 Code Def Cat Description

44140 Large Intestine/DC Colectomy, partial; with anastomosis and Vasc Exposure 44141 Large Intestine/DC Colectomy, partial; with skin level cecostomy or colostomy and Vasc Exposure 44143 Large Intestine/DC Colectomy, partial; with end colostomy and closure of distal segment (Hartmann type procedure) and Vasc Exposure 44144 Large Intestine/DC Colectomy, partial; with resection, with colostomy or ileostomy and creation of mucofistula and Vasc Exposure 44145 Large Intestine/DC Colectomy, partial; with coloproctostomy (low pelvic anastomosis) and Vasc Exposure 44146 Large Intestine/DC Colectomy, partial; with coloproctostomy (low pelvic anastomosis), with colostomy and Vasc Exposure 44147 Large Intestine/DC Colectomy, partial; abdominal and transanal approach and Vasc Exposure 44150 Large Intestine/DC Colectomy, total, abdominal, without proctectomy; with ileostomy or ileoproctostomy and Vasc Exposure 44155 Large Intestine/DC Colectomy, total, abdominal, with proctectomy; with ileostomy and Vasc Exposure 44160 Large Intestine/DC Colectomy, partial, with removal of terminal ileum with ileocolostomy and Vasc Exposure 44626 Large Intestine/DC Closure of enterostomy, large or small intestine; with resection and colorectal anastomosis (eg, closure of and Vasc Hartmann type procedure) Exposure 45119 Large Intestine/DC Proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with and Vasc creation of colonic reservoir (eg, J-pouch), with diverting enterostomy when performed Exposure 45135 Large Intestine/DC Excision of rectal procidentia, with anastomosis; abdominal and perineal approach and Vasc Exposure

Area: ALIM TR-LARGE INT Type: COLOSTOMY (ALL TYPES)

Code Def Cat Description

44188 Large Laparoscopy, surgical, colostomy or skin level cecostomy Intestine/Laparosc opic - Complex/DC and Vasc Exposure 44300 Large Intestine/DC Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (separate procedure) and Vasc Exposure 44320 Large Intestine/DC Colostomy or skin level cecostomy; and Vasc Exposure 44322 Large Intestine/DC Colostomy or skin level cecostomy; with multiple biopsies (eg, for congenital megacolon) (separate and Vasc procedure) Exposure 44345 Large Intestine/DC Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) and Vasc Exposure 44346 Large Intestine/DC Revision of colostomy; with repair of paracolostomy hernia (separate procedure) and Vasc Exposure

Area: ALIM TR-LARGE INT Type: OTHER MAJOR LARGE INT

© 2017 Accreditation Council for Graduate Medical Education (ACGME) 3 11/16/2017 Code Def Cat Description

45116 Large Intestine/DC Proctectomy, partial, with anastomosis; transsacral approach only (Kraske type) and Vasc Exposure

Area: ALIM TR-LARGE INT Type: REPAIR PERF-COLON DIS

Code Def Cat Description

44025 Large Intestine/DC Colotomy, for exploration, biopsy(s), or foreign body removal and Vasc Exposure 44604 Large Intestine/DC Suture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture (single or and Vasc multiple perforations); without colostomy Exposure 44605 Large Intestine/DC Suture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture (single or and Vasc multiple perforations); with colostomy Exposure 44660 Large Intestine/DC Closure of enterovesical fistula; without intestinal or bladder resection and Vasc Exposure 44661 Large Intestine/DC Closure of enterovesical fistula; with intestine and/or bladder resection and Vasc Exposure

Area: ALIM TR-ANO-RECTAL Type: REPAIR RECTAL PROLAPSE

Code Def Cat Description

45540 Large Intestine/DC Proctopexy (eg, for prolapse); abdominal approach and Vasc Exposure 45550 Large Intestine/DC Proctopexy (eg, for prolapse); with sigmoid resection, abdominal approach and Vasc Exposure

© 2017 Accreditation Council for Graduate Medical Education (ACGME) 4 11/16/2017