Summary & Overview
HCPCS E0352: Disposable Pack for Electronic Bowel Irrigation System
HCPCS Level II code E0352 describes a disposable pack containing a water reservoir bag, speculum, valving mechanism, and collection bag/box for use with electronic bowel irrigation and evacuation systems. This supply code matters nationally because it supports device-dependent bowel care procedures performed in outpatient settings and, in some cases, at home under clinical supervision. Availability and coverage of disposable irrigation packs affect patient access, continuity of care, and facility supply planning.
Key payers in this review include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical context for use of the disposable pack, typical sites of service where the supply is used, and which major payers are relevant. The publication covers national benchmarks and coverage considerations, summarizes recent policy updates affecting supply reimbursement when available, and highlights billing and coding points to guide accurate claim submission. Where payer-specific policy details or utilization data are not provided in the input, the text notes that those data are not available in the input.
Billing Code Overview
HCPCS Level II code E0352 represents a disposable pack used with an electronic bowel irrigation/evacuation system. The pack includes a water reservoir bag, speculum, valving mechanism, and collection bag/box, and is intended for single-use in irrigation or evacuation procedures.
Service Type: Bowel irrigation/evacuation supply for electronic irrigation systems
Typical Site of Service: Outpatient clinic, ambulatory surgery center, or home use with electronic bowel irrigation equipment
Clinical & Coding Specifications
Clinical Context
A typical patient is an adult with chronic constipation or neurogenic bowel dysfunction referred for bowel irrigation to manage fecal incontinence or refractory constipation. The patient attends a clinic or outpatient procedural suite where a trained nurse or gastroenterology/urogynecology clinician assembles an electronic bowel irrigation system using a single-use disposable pack E0352 (water reservoir bag, speculum, valving mechanism and collection bag/box). The workflow includes patient intake and confirmation of indication and consent, positioning on a procedure table, insertion of the speculum or rectal interface, connection of the reservoir and tubing to the electronic irrigation pump, controlled delivery of warmed water to achieve bowel evacuation, monitoring for discomfort or adverse events, collection of effluent into the collection bag/box, removal of disposable pack components, and documentation of the device E0352 used. Typical duration is outpatient, single-session irrigation, with possible teaching for future home use if clinically indicated. Typical sites of service include outpatient hospital department, ambulatory surgery center, or clinic procedure room.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
22 | Increased procedural services | Use if unusually extensive work was required during the irrigation procedure beyond typical effort (rare). |