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Placement of ileocecal catheter via loop ileostomy

Date: May 13, 2022

Question:

Would this be 49442-52 since it's done via ileostomy and not percutaneously?

"Right lower quadrant ileostomy and adjacent soft tissues were prepped and draped in standard sterile fashion. A scout radiograph was obtained. Contrast was injected through the efferent limb (inferiorly located) of the ileostomy to define the anatomy of the terminal ileum and ileocecal valve. Thereafter, with the aid of a 5 French angled catheter and 035 Glidewire, access was gained into the proximal ascending colon. Contrast injection confirmed appropriate positioning. IMPRESSION: Successful fluoroscopy-guided placement of ileocecal catheter via loop ileostomy using 5 French multi-sidehole pigtail catheter with pigtail loop at the level of the proximal ascending colon."

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