tci ED Coding & Reimbursement Alert - 2008 Issue 3

Reader Questions: Gastric Aspiration Calls for 91105

Question: A patient complaining of rectal bleeding reports to the ED. After a level-five E/M, the physician personally performs a gastric aspiration to determine if the bleeding is from the upper or lower GI tract. He performs the aspiration after the nurse is unable to complete the procedure. How should I code this service? Nevada SubscriberAnswer: The proper code for gastric aspiration is 91105 (Gastric intubation, and aspiration or lavage for treatment [e.g., for ingested poisons]). In addition to 91105, be sure to report the following:- 99285 (Emergency department visitfor the evaluation and management of a patient, which...

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