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An ileoscopy is a medical procedure that involves the examination of the ileum, which is the final section of the small intestine, through an existing stoma, typically created for patients who have undergone surgery for conditions affecting the bowel. This procedure is performed using an endoscope, a flexible tube equipped with a camera and light, allowing for direct visualization of the ileal mucosa. During the ileoscopy, the physician can assess the condition of the ileum, particularly in cases where there may be strictures or narrowing of the intestinal lumen. The procedure includes the placement of an endoscopic stent, which is a tube-like device used to keep the narrowed segment of the ileum open, facilitating the passage of intestinal contents. The process also involves pre- and post-dilation techniques, which are essential for preparing the stricture for stent placement. Pre-dilation may involve the use of a guidewire and a series of rigid tubes or a balloon catheter to expand the narrowed area, ensuring that the stent can be properly positioned and deployed. This comprehensive approach not only aids in the immediate management of strictures but also helps in improving the overall function of the gastrointestinal tract.
© Copyright 2025 Coding Ahead. All rights reserved.
The ileoscopy with endoscopic stent placement is indicated for patients experiencing specific gastrointestinal conditions that may lead to narrowing of the ileum. These indications include:
The procedure of ileoscopy with endoscopic stent placement involves several critical steps to ensure effective treatment of the narrowed segment of the ileum. These steps include:
After the ileoscopy with stent placement, patients may require monitoring for any immediate complications such as bleeding or perforation. Post-procedure care typically includes instructions on dietary modifications and signs of potential complications to watch for, such as abdominal pain or changes in bowel habits. Follow-up appointments may be scheduled to assess the effectiveness of the stent and the condition of the ileum, ensuring that the patient’s gastrointestinal function is restored and maintained.
| Short Descr | SMALL BOWEL ENDOSCOPY | Medium Descr | ILEOSCOPY STOMA W/PLMT OF ENDOSCOPIC STENT | Long Descr | Ileoscopy, through stoma; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) | 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 | Device-intensive procedure added to ASC list in CY 2008 or later; paid at adjusted rate. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P8I - Endoscopy - other | MUE | 1 |
| 50 | Bilateral procedure: unless otherwise identified in the listings, bilateral procedures that are performed at the same session, should be identified by adding modifier 50 to the appropriate 5 digit code. note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 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). | 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. | 78 | Unplanned return to the operating/procedure room by the same physician or other qualified health care professional following initial procedure for a related procedure during the postoperative period: it may be necessary to indicate that another procedure was performed during the postoperative period of the initial procedure (unplanned procedure following initial procedure). when this procedure is related to the first, and requires the use of an operating/procedure room, it may be reported by adding modifier 78 to the related procedure. (for repeat procedures, see modifier 76.) | GC | This service has been performed in part by a resident under the direction of a teaching physician | LT | Left side (used to identify procedures performed on the left side of the body) | SG | Ambulatory surgical center (asc) facility service | 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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