High strength prestressed concrete pipe piles （PHC） have been widely used in the construction of high-rise buildings in heavy-haze shrouded northern China due to its features of pre-visible quality， high-strength， environmental protection， efficient and flexible construction. In reference to a field case of pipe pile construction for a high-rise residential building in Henan province， this paper introduces the problem of insufficient bearing capacity caused by construction， stratum and other factors in the process of pipe pile construction； underwater photography technology used to accurately determine the problem while the conventional detection methods such as low strain cannot accurately determine the causes； and the treatment process of re-pressing， high-strength grouting and other methods. It provides can some reference for the treatment of similar projects.