CPT® Code 44384

Ileoscopy, through stoma; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed)

An 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, typically created for patients who have undergone surgery for conditions affecting the bowel. This procedure is performed using an endoscope, a flexible tube equipped with a camera and light, allowing for direct visualization of the ileal mucosa. During the ileoscopy, the physician can assess the condition of the ileum, particularly in cases where there may be strictures or narrowing of the intestinal lumen. The procedure includes the placement of an endoscopic stent, which is a tube-like device used to keep the narrowed segment of the ileum open, facilitating the passage of intestinal contents. The process also involves pre- and post-dilation techniques, which are essential for preparing the stricture for stent placement. Pre-dilation may involve the use of a guidewire and a series of rigid tubes or a balloon catheter to expand the narrowed area, ensuring that the stent can be properly positioned and deployed. This comprehensive approach not only aids in the immediate management of strictures but also helps in improving the overall function of the gastrointestinal tract.