Other Services
Chapter 8
Section 2.7
Pulsed Irrigation Evacuation (PIE)
Issue Date: July
3, 2007
Copyright: CPT only © 2006
American Medical Association (or such other date of publication
of CPT).
All Rights Reserved.
Revision:
1.0 CPT PROCEDURE
CODES
91123, 99511
2.0 HCPCS CODES
E0350,
E0352
3.0 DESCRIPTION
PIE
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 POLICY
PIE
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 EXCLUSIONS
PIE
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
DATE
January 1, 1997.
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