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).