CPT® Code 44380

Ileoscopy, through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)

Ileoscopy is a medical procedure that involves the examination of the ileum, which is the final section of the small intestine, through an existing stoma, specifically an ileostomy. This procedure is classified as diagnostic and may include the collection of specimens through techniques such as brushing or washing. The ileoscopy is performed using an endoscope, a flexible tube equipped with a camera and light source, which is inserted into the ileum via the stoma. The primary goal of this procedure is to visualize the mucosal lining of the ileum, allowing healthcare professionals to assess for any abnormalities or diseases present in this segment of the gastrointestinal tract. During the procedure, the ileum is inflated with a small amount of air to enhance visibility by expanding the mucosal folds. This inflation aids in a thorough inspection of the mucosa. Additionally, if necessary, cell samples can be collected by introducing saline fluid into the small intestine and retrieving it, which can provide valuable information for diagnostic purposes. The procedure may also involve obtaining tissue samples through biopsy, which is performed using specialized forceps that are passed through the endoscope. The collected samples are then sent for laboratory analysis to assist in diagnosing any underlying conditions. Overall, ileoscopy is a critical procedure for evaluating the health of the ileum and can provide essential insights into gastrointestinal disorders.