CPT® Code 44372

Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with placement of percutaneous jejunostomy tube

The CPT® Code 44372 refers to a specific medical procedure known as small intestinal endoscopy, specifically an enteroscopy that extends beyond the second portion of the duodenum, which does not include the ileum. This procedure involves the placement of a percutaneous jejunostomy tube (PEJ-tube), a device used to deliver nutrition directly into the jejunum for patients who are unable to consume food or liquids orally. The jejunum is the middle section of the small intestine, situated between the duodenum and the ileum, and plays a crucial role in nutrient absorption. During the procedure, an endoscope—a flexible tube equipped with a camera and light—is inserted through the mouth and advanced through the gastrointestinal tract to visualize the mucosal surfaces of the small intestine. The endoscopic examination allows for the identification of any abnormalities in the jejunum. Following the inspection, a small incision is made in the abdominal wall to facilitate the insertion of the PEJ-tube, which is then advanced into the jejunum to ensure proper placement for nutritional support. This procedure is particularly beneficial for patients with conditions that impair their ability to ingest food or liquids, providing a vital means of nutrition and hydration.