CPT® Code 74283 is used to report a therapeutic enema performed under imaging guidance to reduce intussusception or relieve certain types of intestinal obstruction. This procedure is both diagnostic and therapeutic, typically performed using contrast, air, or saline under fluoroscopic or ultrasound guidance.
It is most commonly used in pediatric patients, where non-surgical reduction of intussusception is often the first-line treatment.
Key Facts About CPT® 74283
- Service type: Radiologic procedure (therapeutic)
- Procedure: Enema for reduction of intussusception or obstruction
- Guidance: Imaging (fluoroscopy or ultrasound)
- Setting: Hospital or outpatient imaging center
- Provider type: Radiologists and qualified healthcare professionals
Common clinical indications:
- Intussusception (especially in pediatric patients)
- Suspected bowel obstruction amenable to enema reduction
- Acute abdominal pain with imaging-confirmed intussusception
- Non-surgical management of intestinal telescoping
When to Use CPT® 74283
CPT 74283 is appropriate when:
- Performing a therapeutic enema to reduce intussusception or obstruction
- Imaging guidance is used to monitor and guide the procedure
- The procedure is intended to resolve the condition without surgery
- Clinical and imaging findings support this intervention
Examples:
- Air or contrast enema performed to reduce ileocolic intussusception in a child
- Imaging-guided enema to relieve a non-complex bowel obstruction
- Therapeutic radiologic intervention following diagnostic confirmation of intussusception
Documentation Requirements
To support CPT 74283 billing, documentation should include:
- Patient identifiers and date of service
- Clinical indication (e.g., suspected or confirmed intussusception)
- Type of enema used (air, contrast, saline)
- Imaging modality and guidance details
- Procedure description and technique
- Outcome of the procedure (successful or unsuccessful reduction)
- Patient tolerance and any complications
- Radiology report and provider signature
Detailed documentation is essential to demonstrate both the therapeutic intent and imaging guidance.
Reimbursement and Coding Considerations
- CPT 74283 is generally reimbursed when medically necessary
- Includes imaging guidance and supervision/interpretation
- Distinguish from diagnostic contrast enemas, which use different CPT codes
- Typically performed in facility settings with appropriate imaging capabilities
- May reduce the need for surgical intervention if successful
- Payer policies may vary based on indication and patient population
Always verify payer-specific radiology and procedural billing guidelines.
How OptiMantra Supports Procedure Documentation and Coordination
OptiMantra’s integrated EMR and practice management system helps streamline documentation and coordination for CPT 74283:
With OptiMantra, providers can:
- Document imaging-guided procedures within the patient chart
- Track diagnostic findings and therapeutic interventions together
- Link radiology reports to clinical diagnoses and treatment plans
- Maintain organized procedural documentation that supports billing compliance and audit preparedness
- Coordinate care across referring providers and specialists
By centralizing clinical and procedural data, OptiMantra helps practices improve efficiency, ensure compliance, and support coordinated patient care.
Try OptiMantra for free here!
Disclaimer: CPT® codes are maintained by the American Medical Association. This guide is for informational purposes only and does not replace official coding guidelines or payer policies.
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