CPT® Code 91123

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Pulsed irrigation evacuation (PIE) is a medical procedure designed to address fecal impaction, particularly in patients who experience chronic constipation and lack voluntary bowel control. This condition is often seen in individuals with neurological impairments, such as paraplegia, where the normal physiological mechanisms for bowel evacuation are compromised. The procedure utilizes a specialized and automated enema system that delivers pulsed irrigation to effectively dislodge and remove impacted fecal matter from the rectum and lower bowel. By employing this method, healthcare providers can facilitate bowel movements in patients who may otherwise struggle with traditional methods of fecal evacuation, thereby improving their overall comfort and quality of life.