CPT® Code 0242T | Case2Code

Code deleted, use 91112

Official Description

Gastrointestinal tract transit and pressure measurement, stomach through colon, wireless capsule, with interpretation and report

Common Language Description

The procedure described by CPT® Code 0242T involves a comprehensive evaluation of the gastrointestinal (GI) tract, specifically focusing on the transit and pressure measurements from the stomach through to the colon. This assessment is particularly relevant for patients who exhibit symptoms suggestive of gastroparesis, a condition characterized by delayed gastric emptying. During the procedure, the patient ingests a wireless capsule that is designed to transmit data regarding the movement and pressure within the gastrointestinal tract. This capsule is equipped with technology that allows it to send radio signals to an external receiver and recording device, which the patient is fitted with prior to ingestion. As the capsule travels through the digestive system, it continuously relays information about gastric emptying, transit times, and pressure measurements at various points along the GI tract. The data collected includes metrics such as gastric transit time, small intestine transit time, large intestine transit time, and whole gut transit time, along with specific pressure readings from the antrum and duodenum. After the capsule is naturally expelled in the stool, typically within a timeframe of 2 to 5 days, the recorded data undergoes thorough analysis. The physician then interprets the findings and compiles a detailed report, which includes insights into the patient's gastrointestinal motility and any abnormalities that may be present.

1. Indications

The procedure is indicated for patients who present with symptoms or conditions that may suggest gastrointestinal motility disorders, particularly those suspected of having gastroparesis. The following are specific indications for performing this procedure:

Suspected Gastroparesis - Patients exhibiting symptoms such as nausea, vomiting, early satiety, and abdominal bloating may require this evaluation to determine gastric emptying rates.
Evaluation of GI Transit Times - This procedure is useful for assessing the transit times through the stomach, small intestine, and colon, which can help diagnose various gastrointestinal disorders.
Assessment of GI Pressure - Measuring pressures within the gastrointestinal tract can provide insights into motility issues and help guide treatment options.

2. Procedure

The procedure involves several key steps to ensure accurate measurement and data collection throughout the gastrointestinal tract:

Preparation of the Patient - Prior to the procedure, the patient is instructed on the process and fitted with an external receiver and recording device. This device is essential for capturing the data transmitted by the wireless capsule.
Ingestion of the Wireless Capsule - The patient ingests a wireless capsule that is designed to travel through the gastrointestinal tract. This capsule is equipped with technology to transmit data regarding its location and the pressure within the GI tract.
Data Collection - As the capsule moves through the stomach and intestines, it continuously sends data to the external receiver. This data includes information on gastric emptying, as well as transit times through the small and large intestines.
Passage of the Capsule - The capsule is typically expelled from the body in the stool within 2 to 5 days after ingestion. This natural passage is a crucial part of the procedure, as it allows for the complete collection of data.
Data Analysis - Once the capsule has been expelled, the recorded data is analyzed to determine various metrics, including gastric transit time, small intestine transit time, large intestine transit time, whole gut transit time, and pressure readings from the antrum and duodenum.
Report Generation - The physician reviews the analyzed data and prepares a comprehensive report detailing the findings, which may include insights into the patient's gastrointestinal motility and any identified abnormalities.

3. Post-Procedure

After the procedure, patients are typically advised to resume their normal activities. There are no specific post-procedure care requirements mentioned; however, patients may be instructed to monitor for any unusual symptoms following the ingestion of the capsule. The physician will provide a written report of the findings, which will be discussed with the patient during a follow-up appointment to determine any necessary next steps or treatment options based on the results of the evaluation.

Short Descr	GI TRACT TRANSIT & PRES MEAS
Medium Descr	GI TRACT TRANSIT&PRESSURE MEAS W/I&R
Long Descr	Gastrointestinal tract transit and pressure measurement, stomach through colon, wireless capsule, with interpretation and report
Status Code	Carriers Price the Code
Global Days	YYY - Carrier Determines Whether Global Concept Applies
PC/TC Indicator (26, TC)	1 - Diagnostic Tests for Radiology Services
Multiple Procedures (51)	0 - No payment adjustment rules for multiple procedures apply.
Bilateral Surgery (50)	0 - 150% payment adjustment for bilateral procedures does NOT apply.
Physician Supervisions	09 - Concept does not apply.
Assistant Surgeon (80, 82)	0 - Payment restriction for assistants at surgery applies to this procedure...
Co-Surgeons (62)	0 - Co-surgeons not permitted for this procedure.
Team Surgery (66)	0 - Team surgeons not permitted for this procedure.
Diagnostic Imaging Family	99 - Concept Does Not Apply
APC Status Indicator	Discontinued Code
Type of Service (TOS)	9 - Other Medical Items or Services
Berenson-Eggers TOS (BETOS)	none
MUE	Not applicable/unspecified.
CCS Clinical Classification	97 - Other gastrointestinal diagnostic procedures