CPT Code 44227: Laparoscopy, Colectomy with Anastomosis and Resection of Terminal Ileum

No. If the enterostomy closure was not performed, report the appropriate laparoscopic colectomy code without enterostomy closure (e.g., 44204), and document accordingly.

Yes, if extensive lysis of adhesions added significant complexity and time to the case, modifier -22 may be used, with detailed documentation to support it.

Yes, but services must be billed under appropriate supervision rules and scope-of-practice laws. Assistant surgeon modifiers (e.g., modifier -80) may be applied when reporting services provided by assisting providers.