Please help!!!

cblack712

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Can anyone please provide assistance on the coding of the following report - I am leaning towards 50690/74425 and 74270 and am pretty sure that a modifier should be on either the 74425 or the 74270 --- I would appreciate any assistance.

Thanks


TECHNIQUE:
Retrograde Gastroview enema: Followed by loopogram at the ileostomy
fluoro time 5:33; DAP 1.3 mGy

FINDINGS:
Digital examination was performed to lubricate the anus. Examination
was begun with an olive tip catheter in the rectum. 300 cc of
Gastroview contrast was infused into the rectum and showed no
evidence of any residual fistula in the rectosigmoid. The contrast
material flowed through the descending colon and into the transverse
colon without obstruction although full distention of the transverse
segment could not be achieved. The mucosa was unremarkable. Post
evacuation films showed what appeared to be some filling of the
ascending colonic segment and again there is no visible evidence of
any fistula in the rectosigmoid.

At this point the ostomy appliance was opened and a straight small
catheter was inserted into what appeared to be the distal ileum. 50
cc of Gastroview was in fused into the small bowel. The ileal bowel
segment was visualized but the presence of residual contrast in the
cecum from the other study made it difficult to reliably visualize
the junction between the ileal-colonic anastomosis. However there did
not appear to be any obvious obstruction or stenosis
colon without obstruction although full distention of the transverse
segment could not be achieved. The mucosa was unremarkable. Post
evacuation films showed what appeared to be some filling of the
ascending colonic segment and again there is no visible evidence of
any fistula in the rectosigmoid.

At this point the ostomy appliance was opened and a straight small
catheter was inserted into what appeared to be the distal ileum. 50
cc of Gastroview was in fused into the small bowel. The ileal bowel
segment was visualized but the presence of residual contrast in the
cecum from the other study made it difficult to reliably visualize
the junction between the ileal-colonic anastomosis. However there did
not appear to be any obvious obstruction or stenosis
 
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