tci ED Coding & Reimbursement Alert - 2006 Issue 10

Reader Question ~ Find Evidence of Fluoroscopy Before Reporting 43752

Question: A patient with complaints of stomach pain and rectal bleeding reports to the ED. The doctor performed a gastric aspiration on the patient. What code best represents this procedure?Mississippi Subscriber Answer: The ED often has to perform gastric aspiration/lavage procedures on patients to discover if the patient is bleeding from the stomach. Your code choice depends on whether or not your doctor used fluoroscopic guidance during the encounter. If the physician does not use fluoroscopic guidance during the aspiration:- report 91105 (Gastric intubation, and aspiration or lavage for treatment [e.g., for ingested poisons]) for the encounter...

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