Originally Posted by eschuen
Its hard to believe someone would do what you've explained, but I've seen it before. Not knowing how the house is constructed makes it hard to give an opinion. What I'm refering to is joist configuration. I'm going to guess based on what you've said that getting a run to that boot was impossible having a finished ceiling. What I mean is cosmetically. They might have had to drop below the finished ceiling to get across a beam of something.
My next thought/question. Are you getting any air thru that diffuser? Any at all? Turn on the blower and check. If you are, the insulation guys may have knocked it loose. Around here 3 screws in every joint is code, but dont know where your at. If this is the problem a small hole maybe all thats necessary.
In my opinion running an entire new run seems a bit drastic since the run is apparently there but not connected properly. Get another opioion.