A pediatric patient with intussusception of the colon underwent examination via rectal insufflation of air at a pressure of 120 mmHg using pulsed fluoroscopy. An ileocolic intussusception was encountered in the hepatic flexure of the colon, which was successfully reduced with good reflux of air into the terminal ileum. What is the correct root operation for reduction of ileocolic intussusception of the hepatic flexure of the colon, via air enema?
Intussusception is the prolapse of one part of the intestine into the lumen of an immediately adjacent part of the intestine, causing intestinal obstruction. Ileocolic intussusception is a common problem in pediatric cases. The intent of the air enema is to push the intussusception/prolapse to relieve the obstruction; therefore, the appropriate root operation is “Reposition” - Moving to its normal location, or other suitable location, all or a portion of a body part. Assign the following ICD-10-PCS codes:
0DSB7ZZ Reposition ileum, via natural or artificial opening
0DSK7ZZ Reposition ascending colon, via natural or artificial openingThe body parts being repositioned are the ileum, and the hepatic flexure