© Copyright 2025 American Medical Association. All rights reserved.
A small intestinal endoscopy, specifically an enteroscopy, is a procedure that allows for the examination of the small intestine beyond the second portion of the duodenum, which includes the ileum. This procedure is performed using a flexible fiberoptic endoscope, a specialized instrument that provides visualization of the intestinal mucosa. During the procedure, the patient's mouth and throat are numbed with an anesthetic spray to minimize discomfort. A hollow mouthpiece is inserted to facilitate the passage of the endoscope, which is then advanced through the esophagus and into the stomach, and subsequently into the duodenum. The endoscope is carefully guided into the small intestine, where the mucosal surfaces of the duodenum, jejunum, and ileum are thoroughly inspected for any abnormalities, such as lesions or strictures. If a stenosis, or narrowing, is identified, the area may be predilated to prepare for stent placement. The procedure includes the selection and deployment of a transendoscopic stent, which is introduced through the endoscope and positioned in the narrowed segment of the small intestine to alleviate obstruction. Additionally, radiographs may be obtained to assess the stent's expansion and ensure its proper placement within the intestinal lumen.
© Copyright 2025 Coding Ahead. All rights reserved.
The small intestinal endoscopy with transendoscopic stent placement is indicated for various conditions that may lead to obstruction or narrowing of the small intestine. These indications include:
The procedure involves several critical steps to ensure effective examination and treatment of the small intestine. These steps include:
After the procedure, patients may be monitored for any immediate complications or adverse effects related to the endoscopy and stent placement. Recovery typically involves observation for signs of bleeding, perforation, or infection. Patients may be advised on dietary modifications and follow-up appointments to assess the stent's function and the condition of the small intestine. It is essential to provide instructions regarding any symptoms that should prompt immediate medical attention, such as severe abdominal pain, vomiting, or changes in bowel habits.
| Short Descr | S BOWEL ENDOSCOPE W/STENT | Medium Descr | ENTEROSCOPY > 2ND PRTN W/ILEUM W/STENT PLMT | Long Descr | Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with transendoscopic stent placement (includes predilation) | Status Code | Active Code | Global Days | 000 - Endoscopic or Minor Procedure | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 3 - Special payment adjustment rules for multiple endoscopic 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. | Endoscopic Base Code | 44376 Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; diagnostic, with or without collection of specimen(s) by brushing or washing (separate 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) | P8I - Endoscopy - other | MUE | 1 | CCS Clinical Classification | 70 - Upper gastrointestinal endoscopy, biopsy |
| 52 | Reduced services: under certain circumstances a service or procedure is partially reduced or eliminated at the discretion of the physician or other qualified health care professional. under these circumstances the service provided can be identified by its usual procedure number and the addition of modifier 52, signifying that the service is reduced. this provides a means of reporting reduced services without disturbing the identification of the basic service. note: for hospital outpatient reporting of a previously scheduled procedure/service that is partially reduced or cancelled as a result of extenuating circumstances or those that threaten the well-being of the patient prior to or after administration of anesthesia, see modifiers 73 and 74 (see modifiers approved for asc hospital outpatient use). | GC | This service has been performed in part by a resident under the direction of a teaching physician | GW | Service not related to the hospice patient's terminal condition |
|
Date
|
Action
|
Notes
|
|---|---|---|
| 2017-01-01 | Changed | Moderate (Conscious) Sedation flag removed. See new Moderate Sedation category. |
| 2001-01-01 | Added | First appearance in code book in 2001. |
Get instant expert-level medical coding assistance.