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An 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, typically created during previous surgical interventions such as an ileostomy. This procedure is particularly significant for patients who have undergone bowel surgeries and may experience complications such as strictures or stenosis in the ileum. During the ileoscopy, a flexible endoscope is inserted through the stoma into the ileum, allowing for direct visualization of the intestinal mucosa. The procedure includes transendoscopic stent placement, which is a technique used to alleviate narrowing in the ileum. Prior to stent placement, predilation is performed, which involves inflating the narrowed segment of the ileum with a small amount of air. This inflation helps to expand the mucosal folds, enhancing the visibility of the mucosa and facilitating a thorough inspection. The endoscopist carefully navigates the scope along the ileum, identifying any areas of stenosis that may require intervention. Once the stenosis is located, the appropriate size of the stent is selected and introduced through the endoscope, ensuring that it is correctly positioned and deployed within the narrowed segment of the small intestine. Following the procedure, separate radiographs may be obtained to assess the expansion of the stent and confirm its proper placement, ensuring optimal outcomes for the patient.
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The ileoscopy with transendoscopic stent placement is indicated for patients experiencing complications related to the ileum, particularly those with:
The procedure begins with the patient positioned appropriately for endoscopic access. The endoscopist prepares the stoma site and ensures that the necessary equipment, including the endoscope and stent, is ready for use.
Post-procedure care involves monitoring the patient for any immediate complications related to the ileoscopy and stent placement. Patients may be observed for signs of obstruction, bleeding, or infection. Follow-up imaging may be required to assess the stent's position and function over time. Additionally, the healthcare provider will provide instructions regarding dietary modifications and activity restrictions to ensure optimal recovery and stent function. Regular follow-up appointments may be scheduled to monitor the patient's condition and the effectiveness of the stent in maintaining ileal patency.
| Short Descr | ILEOSCOPY W/STENT | Medium Descr | ILEOSCOPY STOMA W/TNDSC STENT PLMT | Long Descr | Ileoscopy, through stoma; 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) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 9 - 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. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Procedure or Service, Multiple Reduction Applies | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P8I - Endoscopy - other | MUE | Not applicable/unspecified. | CCS Clinical Classification | 70 - Upper gastrointestinal endoscopy, biopsy |
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| 2015-01-01 | Deleted | Code deleted, see 44384 |
| 2001-01-01 | Added | First appearance in code book in 2001. |
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