tci ED Coding & Reimbursement Alert - 2005 Issue 1

Reader Questions: Describe Gastric Tube With 91105

Question: A patient presents in the emergency department (ED) with rectal bleeding. The ED doctor performs "gastric aspiration," noting no blood in the contents. The physician also notes the "frequent flier" status of this patient, and suspects drug-seeking behavior. How should I report this case?    Illinois Subscriber Answer: You can describe this procedure with code 91105 (Gastric intubation, and aspiration or lavage for treatment [e.g., for ingested poisons]), if the physician performed this service, and make sure you have a procedure note before doing so. Previously, you could have reported it using 43752...

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