CPT® Code 74355

The CPT® Code 74355 refers to the procedure of percutaneous placement of an enteroclysis tube, which is performed under radiological supervision and interpretation. This procedure is essential for various diagnostic and therapeutic purposes related to the small bowel, which includes the duodenum, jejunum, and ileum. The small bowel plays a critical role in digestion, as it is responsible for breaking down carbohydrates, fats, and proteins, and absorbing their nutrients. Due to its length and complex anatomy, examining the small bowel for conditions such as tumors, obstructions, or inflammatory diseases can be challenging. To facilitate this examination, fluoroscopy, a specialized type of X-ray imaging, is utilized to guide the placement of the enteroclysis tube. This imaging technique allows for real-time visualization of the small bowel, ensuring accurate placement of the tube. The procedure begins with the selection of a skin puncture site in the abdominal area, which is then anesthetized locally. A large-bore needle or trocar is inserted through the skin and advanced into the duodenum under fluoroscopic guidance. The enteroclysis tube is subsequently threaded through the needle, and contrast dye is infused to confirm proper placement. Once the placement is verified, the guide needle is removed, and the enteroclysis tube is secured in position. The code 74355 is specifically used to report the radiological supervision and interpretation associated with this procedure, highlighting the importance of imaging in ensuring successful outcomes.