tci General Surgery Coding Alert - 2007 Issue 4

READER QUESTION: Gastric Aspiration Calls for 91105

Question: An established patient comes to the office complaining of rectal bleeding. The doctor performs -gastric aspiration,- noting no blood. How should I report this case?Michigan Subscriber Answer: Report 91105 (Gastric intubation, and aspiration or lavage for treatment [e.g., for ingested poisons]).Previously, you could have used 43752 (Naso- or oro-gastric tube placement, requiring physician's skill and fluoroscopic guidance [includes fluoroscopy, image documentation, and report]), but this code now includes fluoroscopic guidance.Physicians perform gastric lavage procedures to find out whether a patient has active bleeding from the stomach, and the physician may place the tube...

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