Reusable electronic pump system for delivering water into the rectum to assist with bowel emptying

This code represents a medical device used for transanal irrigation, a therapy for chronic constipation or fecal incontinence. The system utilizes an electronic pump to deliver water into the rectum and lower colon, facilitating bowel emptying. It is a non-pharmacological approach to managing bowel dysfunction.

This code is appropriate for billing the complete electronic transanal irrigation system provided to a patient for home use. Documentation should clearly indicate a diagnosis of chronic constipation, fecal incontinence, or neurogenic bowel dysfunction, and a physician's order for the electronic transanal irrigation system. It is typically used when conservative measures have failed.

• Ensure the documentation specifies an electronic system, as manual systems are coded differently.
• This code covers the initial system; subsequent supplies (e.g., catheters, water bags) may be coded separately if applicable and not included in a bundled payment.
• Verify payer-specific policies regarding medical necessity and coverage criteria for transanal irrigation systems.