Question: The radiologist performed barium enema for a 4-year-old male patient with a history of encopresis and constipation. How should I report the procedure if the radiologist writes the following text in her notes: TECHNIQUE: FINDINGS: The rectum and colon is of normal caliber throughout its course. There is no evidence of obstruction, as contrast is seen to flow without difficulty into the right colon and cecum. A small amount of contrast is seen to opacify small bowel loops on the post-evacuation image. There is also opacification of a normal-appearing appendix documented. Answer: Report this case as a commonly performed barium enema: 74270 (Radiologic examination, colon; contrast [e.g., barium enema, with or without KUB]). Tip: For the ICD-9 codes, you should report: 787.6x -- Incontinence of feces (fifth digit will vary based on documentation) 564.00 -- Unspecified constipation.