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Ileoscopy is a specialized endoscopic procedure that involves the examination of the ileum, which is the final section of the small intestine, through an existing stoma, specifically an ileostomy. This procedure is performed using an endoscope, a flexible tube equipped with a camera and light source, which is inserted into the ileum via the stoma. The primary purpose of ileoscopy is to visualize the mucosal lining of the ileum, allowing for the assessment of any abnormalities or conditions affecting this part of the digestive tract. During the procedure, the ileum is inflated with a small amount of air to expand the mucosal folds, enhancing visibility for the physician. This inflation aids in the thorough inspection of the mucosa for any signs of disease or damage. Additionally, ileoscopy can involve obtaining tissue samples through biopsy or collecting cell samples via brushing or washing techniques. A critical component of this procedure is the transendoscopic balloon dilation, which is performed when a narrowed area, or stricture, of the ileum is identified. This dilation process involves the use of a balloon device that is inserted through the endoscope to widen the narrowed segment, thereby improving the passage through the ileum. The combination of these techniques during ileoscopy allows for both diagnostic and therapeutic interventions, making it a valuable procedure in managing conditions affecting the ileum.
© Copyright 2025 Coding Ahead. All rights reserved.
The ileoscopy procedure is indicated for various conditions and symptoms that may affect the ileum, particularly when there is a need for direct visualization and intervention. The following are explicitly provided indications for performing ileoscopy:
The ileoscopy procedure involves several key steps that ensure effective examination and treatment of the ileum. The following procedural steps are explicitly described:
Following the ileoscopy procedure, patients may experience some discomfort or cramping, which is typically mild and resolves quickly. It is important for patients to be monitored for any immediate complications, such as bleeding or perforation. The physician may provide specific post-procedure care instructions, including dietary recommendations and activity restrictions. Patients are usually advised to gradually resume their normal diet and activities as tolerated. Additionally, any collected tissue or cell samples will be sent for laboratory analysis, and results will be discussed with the patient in a follow-up appointment. It is essential for patients to report any unusual symptoms, such as severe pain or persistent bleeding, to their healthcare provider promptly.
| Short Descr | SMALL BOWEL ENDOSCOPY BR/WA | Medium Descr | ILEOSCOPY STOMA W/BALLOON DILATION | Long Descr | Ileoscopy, through stoma; with transendoscopic balloon dilation | 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) | 1 - Statutory 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 | 44380 Ileoscopy, through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (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 | Non office-based surgical procedure added in CY 2008 or later; payment based on OPPS relative payment weight. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P8I - Endoscopy - other | MUE | 1 |
| 22 | Increased procedural services: when the work required to provide a service is substantially greater than typically required, it may be identified by adding modifier 22 to the usual procedure code. documentation must support the substantial additional work and the reason for the additional work (ie, increased intensity, time, technical difficulty of procedure, severity of patient's condition, physical and mental effort required). note: this modifier should not be appended to an e/m service. | 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). | 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). | 58 | Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period: it may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. this circumstance may be reported by adding modifier 58 to the staged or related procedure. note: for treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78. | 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 | GW | Service not related to the hospice patient's terminal condition | PT | Colorectal cancer screening test; converted to diagnostic test or other procedure | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service |
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| 2017-01-01 | Changed | Moderate (Conscious) Sedation flag removed. See new Moderate Sedation category. |
| 2015-01-01 | Added | Added |
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