AMA Clinical Examples in Radiology - 2006 Issue 4 (Fall)
Enteroclysis Procedure
Enteroclysis Procedure Indication Abdominal pain. Weight loss. Clinical concern for chronic mesenteric ischemia. Evaluate for mucosal disease or partial small bowel obstruction. Scout radiograph Normal for age Technique After informed consent and the risks and benefits of the procedure were explained to the patient, 2% lidocaine gel was used to anesthetize the right nares and oropharynx. An enteroclysis catheter was 44500 advanced through the right nares into the esophagus and stomach. A stiffening wire was advanced, and the catheter was guided to the distal 74340 duodenum under fluoroscopy. The balloon was inflated in the distal duodenum. Subsequently, barium (200...
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Article Overview
This article explains an enteroclysis procedure in the context of a radiology clinical example and coding discussion. It is aimed at coders, auditors, and radiology staff who need to understand the scope of the exam, the related CPT codes referenced in the case, and the general coding considerations highlighted in the accompanying tips and discussion. The content also references guidance tied to professional practice material and a dated ACR practice guideline.
Why This Topic Matters
Enteroclysis involves multiple components that are often bundled differently depending on the service performed, so understanding the procedure context and referenced coding categories helps support accurate radiology coding and documentation review.
Article Sections
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Indication
Summarizes the clinical reasons the study was performed and the broad diagnostic concerns prompting the examination.
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Scout radiograph
Notes the initial radiographic assessment associated with the exam.
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Technique
Describes the procedural workflow and imaging components used during the examination.
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Findings
Presents the observed small-bowel imaging findings from the study.
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Impression
Summarizes the radiologist’s overall interpretation of the exam findings.
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How to Code
Identifies the related CPT codes referenced for the procedure and frames the coding discussion at a high level.
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Coding Tips
Provides general coding guidance about components of the exam and what is considered part of the reported service.
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Discussion
Explains the enteroclysis study in broader terms and describes the main service components addressed by the article.
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Endnote
Lists the practice guideline and source material referenced by the article.
What You Will Learn
- The general purpose and scope of an enteroclysis examination
- The major components of the procedure discussed in the clinical example
- How the article frames the associated radiology coding discussion
- The role of practice guidance and source references in the article context
Who Should Read This
- Radiology coders
- Coding auditors
- Revenue cycle staff
- Radiologists
- Radiology department staff
Codes Discussed
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