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Patient did a consult for constipation. Rectal revealed a small amount of stool. CT scan reviewed by other doctor, revealed significant dilatation of sigmoid. Impression: Colonic distention with some small bowel distention, query ileus.

A rectal tube was introduced from the anus and advanced gently with the passage of large amount of flatus and relieve of symptoms. We will get x-rays of the abdomen done to evaluate decompression of the colon.

What is the best code for the rectal tube. I wonder if that will be included in the E/M code or should I go with 45999
Thank you

Julie


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