TRICARE Policy Manual 6010.60-M, April 1, 2015 Other Services Chapter 8 Section 2.7 Pulsed Irrigation Evacuation (PIE) Issue Date: July 3, 2007 Authority: 32 CFR 199.2 and 32 CFR 199.4(d)(3)(iii) Copyright: CPT only © 2006 American Medical Association (or such other date of publication of CPT). All Rights Reserved. Revision: 1.0 CPT PROCEDURE CODES91123, 99511 2.0 HCPCS CODESE0350, E0352 3.0 DESCRIPTIONPIE is an automated enema in which small pulses of warm tap water are delivered into the rectum, serving to rehydrate feces and promote peristalsis. The system consists of a speculum, tubing, a disposable collection container, and an electrical unit that delivers positive and negative air pressure through the tubing. 4.0 POLICYPIE may be covered for the treatment of patients with neurogenic bowel who have failed conservative therapy with bowel retraining (e.g., suppositories, digital stimulation, abdominal massage, enemas). 5.0 EXCLUSIONSPIE is excluded when any of the following contraindications exist: 5.1 Abdominal surgeries in the past 12 months. 5.2 Renal insufficiency. 5.3 Acute diverticulitis. 5.4 Impactions not in the colon, i.e., ileus. 5.5 Integrity of the colon is suspect (suspected perforation). 6.0 EFFECTIVE DATEJanuary 1, 1997. - END -